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1184105470
BIJU JACOB
DESOTO, TX
NPI
1184105470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 206684)
Enumeration Date
2018-08-24
Last Update Date
2018-08-24
Business Address
BIJU JACOB COTA
940 YORK DR
DESOTO, TX 75115-2042
Phone number: 972-572-6200
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Mailing Address
BIJU JACOB COTA
940 YORK DR
DESOTO, TX 75115-2042
Phone number: 972-572-6200
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