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1508648353
EMMIE JACOBSON
THIEF RIVER FALLS, MN
NPI
1508648353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MN 202761)
Enumeration Date
2023-10-17
Last Update Date
2023-10-17
Business Address
EMMIE JACOBSON COTA
310 RED LAKE BLVD
THIEF RIVER FALLS, MN 56701-2133
Phone number: 218-416-1482
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Mailing Address
EMMIE JACOBSON COTA
3060 FRONTIER WAY S
FARGO, ND 58104-8909
Phone number: 701-232-2340
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