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1720581325
TRACY KLOEFKORN
IRVING, TX
NPI
1720581325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 213633)
Enumeration Date
2018-03-10
Last Update Date
2018-03-10
Business Address
TRACY KLOEFKORN COTA
1231 GREENWAY DR STE 100
IRVING, TX 75038-2525
Phone number: 972-871-1800
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Mailing Address
TRACY KLOEFKORN COTA
5313 BUCKNER DR
FLOWER MOUND, TX 75028-1033
Phone number: 575-208-8124
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