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1679058457
EDISON WOODS HUBERT
ALICE, TX
NPI
1679058457
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 202999)
Enumeration Date
2018-09-27
Last Update Date
2018-09-27
Business Address
EDISON WOODS HUBERT COTA
608 COYOTE TRAIL
ALICE, TX 78332
Phone number: 361-237-8938
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Mailing Address
EDISON WOODS HUBERT COTA
4410 CLEARWATER DR
CORPUS CHRISTI, TX 78413-2620
Phone number: 361-237-8938
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