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1164946083
MARY TRAN
PUEBLO, CO
NPI
1164946083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CO OTA.0000944)
Enumeration Date
2017-08-02
Last Update Date
2017-08-02
Business Address
-- MARY TRAN COTA/L
2330 ACERO AVE APT 17
PUEBLO, CO 81004-4181
Phone number: 719-994-3616
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Mailing Address
-- MARY TRAN COTA/L
2330 ACERO AVE APT 17
PUEBLO, CO 81004-4181
Phone number:
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