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1174235063
RILEY NICOLE BUIS
FREDERICK, CO
NPI
1174235063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CO OTA.0001619)
Enumeration Date
2022-12-22
Last Update Date
2022-12-22
Business Address
RILEY NICOLE BUIS COTA/L
6653 BLUE SPRUCE ST
FREDERICK, CO 80530-6712
Phone number: 720-838-1901
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Mailing Address
RILEY NICOLE BUIS COTA/L
6653 BLUE SPRUCE ST
FREDERICK, CO 80530-6712
Phone number: 720-838-1901
Copy