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1417143272
BENJAMIN CHARLES ANDERSON
HENDERSON, TX
NPI
1417143272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 209816)
Enumeration Date
2007-09-14
Last Update Date
2007-09-14
Business Address
-- BENJAMIN CHARLES ANDERSON COTA
1010 W MAIN ST
HENDERSON, TX 75652-2923
Phone number: 903-657-6549
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Mailing Address
-- BENJAMIN CHARLES ANDERSON COTA
223 MITCHELL RD
MARSHALL, TX 75670-2254
Phone number: 903-938-2863
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