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1346596913
JAMES LEE STACEY
SACRAMENTO, CA
NPI
1346596913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 636)
Enumeration Date
2012-08-01
Last Update Date
2014-04-08
Business Address
MR. JAMES LEE STACEY COTA
1337 HOWE AVE STE 107
SACRAMENTO, CA 95825-3305
Phone number: 916-564-5010
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Mailing Address
MR. JAMES LEE STACEY COTA
1337 HOWE AVE STE 107
SACRAMENTO, CA 95825-3305
Phone number: 916-564-5010
Copy
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