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1194207555
JACKIE DEE MARQUEZ
ALICE, TX
NPI
1194207555
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 209989)
Enumeration Date
2018-09-03
Last Update Date
2018-09-03
Business Address
JACKIE DEE MARQUEZ COTA
219 N KING ST
ALICE, TX 78332-4841
Phone number: 361-664-4366
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Mailing Address
JACKIE DEE MARQUEZ COTA
4614 STONEGATE WAY
CORPUS CHRISTI, TX 78411
Phone number: 361-658-7153
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