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1285293258
AMANDA ASHLEY CARRILLO
ROSWELL, NM
NPI
1285293258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NM OTA2852)
Enumeration Date
2019-06-12
Last Update Date
2019-06-12
Business Address
AMANDA ASHLEY CARRILLO COTA/L
3200 MISSION ARCH DR
ROSWELL, NM 88201-8307
Phone number: 575-624-2583
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Mailing Address
AMANDA ASHLEY CARRILLO COTA/L
2613 BEVERLY AVE
ROSWELL, NM 88201-8623
Phone number: 575-749-9524
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