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1548775554
MIA CARRILLO
CORPUS CHRISTI, TX
NPI
1548775554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 210300)
Enumeration Date
2017-12-13
Last Update Date
2017-12-13
Business Address
MIA CARRILLO
4444 CORONA DR STE 144
CORPUS CHRISTI, TX 78411-4322
Phone number: 361-854-1110
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Mailing Address
MIA CARRILLO
4444 CORONA DR STE 144
CORPUS CHRISTI, TX 78411-4322
Phone number: 361-854-1110
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