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1760654644
CAROL LYLE WILSON
SAN ANTONIO, TX
NPI
1760654644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 209034)
Enumeration Date
2008-03-31
Last Update Date
2008-03-31
Business Address
Mrs. CAROL LYLE WILSON COTA
5101 MEDICAL DR
SAN ANTONIO, TX 78229-4801
Phone number: 210-616-0100
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Mailing Address
Mrs. CAROL LYLE WILSON COTA
13603 LYTLE LN
HELOTES, TX 78023-2978
Phone number: 210-695-1446
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