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1609597038
JENNIFER LOPEZ
ALICE, TX
NPI
1609597038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 217554)
Enumeration Date
2022-09-05
Last Update Date
2022-09-05
Business Address
JENNIFER LOPEZ COTA
400 E MAIN ST
ALICE, TX 78332-4969
Phone number: 361-396-4029
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Mailing Address
JENNIFER LOPEZ COTA
400 E MAIN ST
ALICE, TX 78332-4969
Phone number: 361-396-4029
Copy
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