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1811478308
ALIEU GASSAMA
GRAND PRAIRIE, TX
NPI
1811478308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 214533)
Enumeration Date
2018-08-23
Last Update Date
2018-08-23
Business Address
ALIEU GASSAMA
820 SMALL ST
GRAND PRAIRIE, TX 75050-5856
Phone number: 352-382-1141
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Mailing Address
ALIEU GASSAMA
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 352-382-1141
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