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1235357443
CONNIE EILENE GLENN
DALLAS, TX
NPI
1235357443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 209643)
Enumeration Date
2007-04-23
Last Update Date
2007-07-08
Business Address
Mr. CONNIE EILENE GLENN COTA
2535 LONE STAR DR
DALLAS, TX 75212-6313
Phone number: 214-467-9787
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Mailing Address
Mr. CONNIE EILENE GLENN COTA
417 GREEN ACRES DR
PALMER, TX 75152-9613
Phone number: 972-921-1208
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