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1215361985
MATTHEW CHRISTOPHER BORTON
COEUR D ALENE, ID
NPI
1215361985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AZ 5240)
Enumeration Date
2013-08-29
Last Update Date
2014-07-14
Business Address
MR. MATTHEW CHRISTOPHER BORTON COTA
210 W LACROSSE AVE
COEUR D ALENE, ID 83814-2403
Phone number: 208-664-2185
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Mailing Address
MR. MATTHEW CHRISTOPHER BORTON COTA
18033 N 7TH DR
PHOENIX, AZ 85023-1503
Phone number: 602-374-3247
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