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1316022833
LEE H MOTA
FORT WORTH, TX
NPI
1316022833
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: TX 00F715)
Enumeration Date
2006-10-25
Last Update Date
2020-05-07
Business Address
Mr. LEE H MOTA CSFA
6404 PAYTON DR
FORT WORTH, TX 76131-1209
Phone number:
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Mailing Address
Mr. LEE H MOTA CSFA
PO BOX 938
ROWLETT, TX 75030-0938
Phone number: 214-227-2457
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