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1407043672
DESLYN NICOLE CARROLL
TYLER, TX
NPI
1407043672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 209842)
Enumeration Date
2007-10-01
Last Update Date
2007-10-01
Business Address
Mrs. DESLYN NICOLE CARROLL COTA
3505 OLD JACKSONVILLE RD
TYLER, TX 75701-8510
Phone number: 903-561-2011
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Mailing Address
Mrs. DESLYN NICOLE CARROLL COTA
3505 OLD JACKSONVILLE RD
TYLER, TX 75701-8510
Phone number: 903-561-2011
Copy
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