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1578208369
ALEXIS MCBRIDE
PROVO, UT
NPI
1578208369
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Former Name
ALEXIS LEAVITT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: UT 12431349-4202)
Enumeration Date
2022-05-05
Last Update Date
2022-05-05
Business Address
ALEXIS MCBRIDE COTA
245 E 2320 N
PROVO, UT 84604
Phone number: 801-374-4800
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Mailing Address
ALEXIS MCBRIDE COTA
1544 N 3890 W
LEHI, UT 84043-6900
Phone number:
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