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1619459252
IVAN CHAVARRIA
SOCORRO, TX
NPI
1619459252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 214956)
Enumeration Date
2018-08-30
Last Update Date
2018-08-30
Business Address
IVAN CHAVARRIA COTA
10064 ALAMEDA AVE
SOCORRO, TX 79927-1801
Phone number: 915-773-0744
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Mailing Address
IVAN CHAVARRIA COTA
159 DURRILL RD
EL PASO, TX 79915-3649
Phone number: 915-255-6354
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