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1811375090
JUAN MENDOZA
LAKEWOOD, CO
NPI
1811375090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CO OTA.0000424)
Enumeration Date
2015-05-08
Last Update Date
2015-05-08
Business Address
-- JUAN MENDOZA COTA/L
7360 W ARCHER PL
LAKEWOOD, CO 80226-2000
Phone number: 720-432-5826
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Mailing Address
-- JUAN MENDOZA COTA/L
7360 W ARCHER PL
LAKEWOOD, CO 80226-2000
Phone number:
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