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1598300535
JACEY BATEMAN
PAYSON, UT
NPI
1598300535
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2019-11-13
Last Update Date
2019-11-13
Business Address
JACEY BATEMAN COTA
12612 S 4380 W
PAYSON, UT 84651-9685
Phone number: 208-539-5087
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Mailing Address
JACEY BATEMAN COTA
12612 S 4380 W
PAYSON, UT 84651-9685
Phone number: 208-539-5087
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