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1235608043
EDALINE HINES
DALLAS, TX
NPI
1235608043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 215065)
Enumeration Date
2018-11-21
Last Update Date
2018-11-21
Business Address
EDALINE HINES COTA
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 469-810-8593
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Mailing Address
EDALINE HINES COTA
701 LEGACY DR APT 1224
PLANO, TX 75023-2236
Phone number: 469-810-8593
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