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1164828778
LORENA LIBBY
LONGVIEW, WA
NPI
1164828778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WA OC 60453692)
Enumeration Date
2014-11-10
Last Update Date
2014-11-10
Business Address
-- LORENA LIBBY COTA-L
128 BEACON HILL DR
LONGVIEW, WA 98632-5859
Phone number: 360-423-4060
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Mailing Address
-- LORENA LIBBY COTA-L
128 BEACON HILL DR
LONGVIEW, WA 98632-5859
Phone number:
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