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1619413978
JEANETTE LYNN LARUE
BRIGHTON, CO
NPI
1619413978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CO OTA.0000636)
Enumeration Date
2017-01-11
Last Update Date
2017-01-11
Business Address
-- JEANETTE LYNN LARUE COTA
2195 E EGBERT ST
BRIGHTON, CO 80601-2538
Phone number: 303-835-8746
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Mailing Address
-- JEANETTE LYNN LARUE COTA
2055 SETTLERS DR
MILLIKEN, CO 80543-3238
Phone number: 970-599-3741
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