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1184021248
CHRIS FUENTES
ASHTABULA, OH
NPI
1184021248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OH OTA.04914)
Enumeration Date
2014-12-04
Last Update Date
2014-12-04
Business Address
-- CHRIS FUENTES COTA/L
2630 W 13TH ST
ASHTABULA, OH 44004-2405
Phone number: 440-992-1200
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Mailing Address
-- CHRIS FUENTES COTA/L
613 LAKE ERIE ST
CONNEAUT, OH 44030-1358
Phone number: 440-319-8476
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