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1316102056
JUAN ANGEL
INDIANAPOLIS, IN
NPI
1316102056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32001588A)
Enumeration Date
2008-07-22
Last Update Date
2010-06-24
Business Address
-- JUAN ANGEL COTA
344 S RITTER AVE
INDIANAPOLIS, IN 46219-7142
Phone number: 317-602-3847
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Mailing Address
-- JUAN ANGEL COTA
810 OAK BLVD
GREENFIELD, IN 46140-1249
Phone number: 317-602-3847
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