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1336460062
SUSAN M STATON
FARMINGTON, NM
NPI
1336460062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NM 2701)
Enumeration Date
2010-06-16
Last Update Date
2010-06-16
Business Address
Mrs. SUSAN M STATON COTA
800 SAGUARO TRL
FARMINGTON, NM 87401-9632
Phone number: 505-598-6000
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Mailing Address
Mrs. SUSAN M STATON COTA
220 VALLE VIS
FARMINGTON, NM 87401-3231
Phone number: 505-327-3882
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