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1285881185
RAY TRAVIS BURTON
ELKHART, IN
NPI
1285881185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32001536A)
Enumeration Date
2008-08-21
Last Update Date
2008-08-21
Business Address
-- RAY TRAVIS BURTON COTA
333 W MISHAWAKA RD
ELKHART, IN 46517-1921
Phone number: 574-293-1550
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Mailing Address
-- RAY TRAVIS BURTON COTA
333 W MISHAWAKA RD
ELKHART, IN 46517-1921
Phone number: 574-293-1550
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