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1497062277
JENNIE GENTRY
FORT WORTH, TX
NPI
1497062277
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 210567)
Enumeration Date
2010-09-01
Last Update Date
2010-09-01
Business Address
-- JENNIE GENTRY COTA
1617 PARK PLACE AVE SUITE 110
FORT WORTH, TX 76110-1300
Phone number: 817-921-5020
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Mailing Address
-- JENNIE GENTRY COTA
1505 W. GRANDE BLVD APT 111
TYLER, TX 75703
Phone number: 817-433-0721
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