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1679088009
LORETTA L ANDRIS
OSWEGO, NY
NPI
1679088009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 9972667)
Enumeration Date
2017-12-07
Last Update Date
2017-12-07
Business Address
LORETTA L ANDRIS COTA/L
159 W 1ST ST
OSWEGO, NY 13126-2045
Phone number: 315-342-9575
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Mailing Address
LORETTA L ANDRIS COTA/L
2903 FARGO RD
BALDWINSVILLE, NY 13027-8220
Phone number: 315-243-8753
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