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1376056127
DEMITRI MARIE BLIESNER
PHOENIX, AZ
NPI
1376056127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NM 3816)
Enumeration Date
2017-11-14
Last Update Date
2017-11-14
Business Address
Prof. DEMITRI MARIE BLIESNER COTA
7540 N 19TH AVE STE 200
PHOENIX, AZ 85021-7967
Phone number: 188-887-3422
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Mailing Address
Prof. DEMITRI MARIE BLIESNER COTA
31 ROAD 5198
BLOOMFIELD, NM 87413-9713
Phone number: 505-402-8419
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