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1518485804
JORGE RAMOS MEDINA
CENTRALIA, WA
NPI
1518485804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WA OC60786993)
Enumeration Date
2017-09-07
Last Update Date
2017-09-07
Business Address
JORGE RAMOS MEDINA COTA
2320 BORST AVE
CENTRALIA, WA 98531-1410
Phone number: 360-827-6383
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Mailing Address
JORGE RAMOS MEDINA COTA
4749 WAXWING CT NE
LACEY, WA 98516-4534
Phone number:
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