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1255801445
LIANA MARIE CLEVENGER
WACO, TX
NPI
1255801445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 208998)
Enumeration Date
2018-11-29
Last Update Date
2018-11-29
Business Address
LIANA MARIE CLEVENGER COTA
9114 ROYAL LN
WACO, TX 76712-8469
Phone number: 254-666-2164
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Mailing Address
LIANA MARIE CLEVENGER COTA
9114 ROYAL LN
WACO, TX 76712-8469
Phone number: 254-666-2164
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