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1588145718
ELIZABETH BANUELOS
SAN ANTONIO, TX
NPI
1588145718
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 203584)
Enumeration Date
2018-08-26
Last Update Date
2018-08-26
Business Address
ELIZABETH BANUELOS COTA
815 E GRAYSON ST
SAN ANTONIO, TX 78208-1014
Phone number: 210-226-8181
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Mailing Address
ELIZABETH BANUELOS COTA
815 E GRAYSON ST
SAN ANTONIO, TX 78208-1014
Phone number: 210-226-8181
Copy
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