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1356815823
HEATHER GORMAN
FOUNTAIN, CO
NPI
1356815823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CO 0001157)
Enumeration Date
2019-01-17
Last Update Date
2019-01-17
Business Address
HEATHER GORMAN COTA
864 BUNTING AVE
FOUNTAIN, CO 80817-1804
Phone number: 719-574-2334
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Mailing Address
HEATHER GORMAN COTA
864 BUNTING AVE
FOUNTAIN, CO 80817-1804
Phone number: 719-574-2334
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