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1356849475
LACY CHEYENNE RICHARDSON
DALLAS, TX
NPI
1356849475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 214880)
Enumeration Date
2018-01-23
Last Update Date
2018-01-23
Business Address
LACY CHEYENNE RICHARDSON COTA
6301 GASTON AVE
DALLAS, TX 75214-3922
Phone number: 214-295-5374
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Mailing Address
LACY CHEYENNE RICHARDSON COTA
6301 GASTON AVE
DALLAS, TX 75214-3922
Phone number: 214-295-5374
Copy
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