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1285145847
JUSTINE RAVEN LUNA
WACO, TX
NPI
1285145847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: TX 214825)
Enumeration Date
2017-10-22
Last Update Date
2017-10-22
Business Address
JUSTINE RAVEN LUNA COTA
900 WASHINGTON AVE
WACO, TX 76701-1200
Phone number: 254-296-9792
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Mailing Address
JUSTINE RAVEN LUNA COTA
1016 S ADAMS ST
MC GREGOR, TX 76657-2357
Phone number: 254-242-8337
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