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1801653670
FAITH GREEN
TEXARKANA, TX
NPI
1801653670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 218263)
Enumeration Date
2024-02-28
Last Update Date
2024-02-28
Business Address
FAITH GREEN COTA
4100 MOORES LN
TEXARKANA, TX 75503-5102
Phone number: 903-832-5515
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Mailing Address
FAITH GREEN COTA
330 N PECAN ST APT 58
NASH, TX 75569-2555
Phone number: 870-571-6289
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