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1740841832
INKOO SONG
DALLAS, TX
NPI
1740841832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 210350)
Enumeration Date
2019-06-28
Last Update Date
2019-06-28
Business Address
INKOO SONG COTA
11409 N CENTRAL EXPY
DALLAS, TX 75243-6678
Phone number: 214-239-5728
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Mailing Address
INKOO SONG COTA
1057 LAKE RIDGE DR
RICHARDSON, TX 75081-5155
Phone number: 940-636-1725
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