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1568652170
ROLANDO ALICEA
PORTAGE, IN
NPI
1568652170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32001127A)
Enumeration Date
2007-07-30
Last Update Date
2007-07-30
Business Address
-- ROLANDO ALICEA COTA
6040 LUTE RD
PORTAGE, IN 46368-5008
Phone number: 219-763-6858
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Mailing Address
-- ROLANDO ALICEA COTA
1500 STATE ST
HOBART, IN 46342
Phone number: 219-942-9571
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