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1225212459
TARIS RENEE SMITH
CLOVIS, NM
NPI
1225212459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NM 2381)
Enumeration Date
2007-12-24
Last Update Date
2007-12-24
Business Address
MRS. TARIS RENEE SMITH COTA/L
2016 FAIRWAY TER
CLOVIS, NM 88101-3130
Phone number: 505-763-0400
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Mailing Address
MRS. TARIS RENEE SMITH COTA/L
2016 FAIRWAY TER
CLOVIS, NM 88101-3130
Phone number: 505-763-0400
Copy
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