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1225519929
MO DASABE
GRAND PRAIRIE, TX
NPI
1225519929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224ZE0001X Occupational Therapy Assistant, Environmental Modification
(Licence: TX 208620)
Enumeration Date
2018-08-22
Last Update Date
2018-08-22
Business Address
Mr. MO DASABE COTA
658 SW 3RD ST
GRAND PRAIRIE, TX 75051-1805
Phone number: 972-264-2464
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Mailing Address
Mr. MO DASABE COTA
4403 PALMER DR
MANSFIELD, TX 76063-3434
Phone number: 972-572-8900
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