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1467177600
JACQUELYN M FUENTES
CORPUS CHRISTI, TX
NPI
1467177600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 210853)
Enumeration Date
2022-10-10
Last Update Date
2022-10-10
Business Address
Ms. JACQUELYN M FUENTES OTA
1746 STAR COVE DR
CORPUS CHRISTI, TX 78412-5135
Phone number: 361-254-1747
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Mailing Address
Ms. JACQUELYN M FUENTES OTA
1746 STAR COVE DR
CORPUS CHRISTI, TX 78412-5135
Phone number: 361-254-1747
Copy
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