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1710143425
TAWNY L WILSON
PHOENIX, AZ
NPI
1710143425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA 1000056)
Enumeration Date
2008-08-01
Last Update Date
2008-08-01
Business Address
MRS. TAWNY L WILSON COTA
7540 N 19TH AVE
PHOENIX, AZ 85021-7967
Phone number: 888-873-4221
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Mailing Address
MRS. TAWNY L WILSON COTA
501 N PARK ST
MANZANOLA, CO 81058-9612
Phone number: 719-462-5683
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