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1629231113
JENNIE SPARKS
AMARILLO, TX
NPI
1629231113
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Former Name
JEANETTE SUE LIDDLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 209654)
Enumeration Date
2008-07-06
Last Update Date
2008-07-06
Business Address
-- JENNIE SPARKS COTA
1901 MEDI PARK DR SUITE 65
AMARILLO, TX 79106-2110
Phone number: 806-468-7611
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Mailing Address
-- JENNIE SPARKS COTA
307 PARTRIDGE DR
AMARILLO, TX 79124-1415
Phone number: 806-359-6847
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