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1205252186
RICKY STIEFER
TYLER, TX
NPI
1205252186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 210619)
Enumeration Date
2014-03-14
Last Update Date
2014-03-14
Business Address
-- RICKY STIEFER COTA
100 E FERGUSON ST 1204
TYLER, TX 75702-5759
Phone number: 903-509-2040
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Mailing Address
-- RICKY STIEFER COTA
100 E FERGUSON ST 1204
TYLER, TX 75702-5759
Phone number: 903-509-2040
Copy
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