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1245953280
EVAN JOHN BASSETT
SPOKANE, WA
NPI
1245953280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WA OC61354817)
Enumeration Date
2022-09-23
Last Update Date
2022-09-23
Business Address
Mr. EVAN JOHN BASSETT COTA
123 W CASCADE WAY
SPOKANE, WA 99208-6017
Phone number: 509-624-3115
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Mailing Address
Mr. EVAN JOHN BASSETT COTA
3124 W LONGFELLOW AVE
SPOKANE, WA 99205-1648
Phone number: 509-596-9593
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