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1669018917
LACY ROSE MILES
LUFKIN, TX
NPI
1669018917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 216015)
Enumeration Date
2019-11-21
Last Update Date
2019-11-21
Business Address
LACY ROSE MILES COTA
415 S 1ST ST STE 300A
LUFKIN, TX 75901-3863
Phone number: 936-225-1174
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Mailing Address
LACY ROSE MILES COTA
204 PRICE ST
MARSHALL, TX 75670-3523
Phone number: 903-742-1997
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