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1497065577
JENNIFER RUSSELL
WACO, TX
NPI
1497065577
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 403816)
Enumeration Date
2010-10-07
Last Update Date
2010-10-07
Business Address
-- JENNIFER RUSSELL COTA
6804 SANGER AVE #227
WACO, TX 76710-4257
Phone number: 800-340-4098
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Mailing Address
-- JENNIFER RUSSELL COTA
6804 SANGER AVE #227
WACO, TX 76710-4257
Phone number: 800-340-4098
Copy
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