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1528250644
BREANNE LANDIVAR
SAN ANTONIO, TX
NPI
1528250644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 209729)
Enumeration Date
2007-08-13
Last Update Date
2007-08-13
Business Address
Mr. BREANNE LANDIVAR cota
130 SPENCER LN
SAN ANTONIO, TX 78201-2109
Phone number: 210-444-9186
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Mailing Address
Mr. BREANNE LANDIVAR cota
130 SPENCER LN
SAN ANTONIO, TX 78201-2109
Phone number: 210-444-9186
Copy
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