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1427308642
MARK ANTHONY PORRAS
EL PASO, TX
NPI
1427308642
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 403939)
Enumeration Date
2012-09-14
Last Update Date
2012-09-14
Business Address
MARK ANTHONY PORRAS COTA
6028 SURETY DR.
EL PASO, TX 79905
Phone number: 915-781-2901
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Mailing Address
MARK ANTHONY PORRAS COTA
528 MARTHA WAY
EL PASO, TX 79907
Phone number: 915-820-0838
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