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1720565567
JACOB CLAY MCCLAIN
TYLER, TX
NPI
1720565567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 215287)
Enumeration Date
2018-07-24
Last Update Date
2018-07-24
Business Address
JACOB CLAY MCCLAIN COTA
100 E FERGUSON ST
TYLER, TX 75702-5759
Phone number: 903-509-2040
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Mailing Address
JACOB CLAY MCCLAIN COTA
1505 W GRANDE BLVD APT 1103
TYLER, TX 75703-5697
Phone number: 318-751-2325
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