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1295994085
KARL EVERT PEREIRA
LONGVIEW, WA
NPI
1295994085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WA OC00000807)
Enumeration Date
2008-06-05
Last Update Date
2008-06-05
Business Address
-- KARL EVERT PEREIRA COTA/L
128 BEACON HILL DR
LONGVIEW, WA 98632-5859
Phone number: 360-423-4060
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Mailing Address
-- KARL EVERT PEREIRA COTA/L
128 BEACON HILL DR
LONGVIEW, WA 98632-5859
Phone number: 360-423-4060
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