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1609545045
JONI LYNNE WAGNER
IRVING, TX
NPI
1609545045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 216974)
Enumeration Date
2021-09-09
Last Update Date
2021-09-09
Business Address
Ms. JONI LYNNE WAGNER COTA
1431 GREENWAY DR STE 500
IRVING, TX 75038-2444
Phone number: 806-553-7778
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Mailing Address
Ms. JONI LYNNE WAGNER COTA
6178 COUNTY ROAD G
VEGA, TX 79092-3023
Phone number: 806-881-9048
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