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1457570053
DAWN DENISE EZELLE
FORT WORTH, TX
NPI
1457570053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 209409)
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
-- DAWN DENISE EZELLE COTA
3400 MARINE DRIVE
FORT WORTH, TX 76135
Phone number: 817-237-7231
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Mailing Address
-- DAWN DENISE EZELLE COTA
1200 DALLAS DR 1314
DENTON, TX 76205-5151
Phone number: 940-206-6222
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