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1568006781
RANDY LOUIS CRAFT
HUMBLE, TX
NPI
1568006781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 210061)
Enumeration Date
2019-10-30
Last Update Date
2019-10-30
Business Address
Mr. RANDY LOUIS CRAFT COTA
5411 DOVE FOREST LN
HUMBLE, TX 77346-1224
Phone number: 832-387-8273
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Mailing Address
Mr. RANDY LOUIS CRAFT COTA
5411 DOVE FOREST LN
HUMBLE, TX 77346-1224
Phone number: 832-387-8273
Copy
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