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1821478843
AUSTIN ANDERSON
UNION GAP, WA
NPI
1821478843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WA OC60558654)
Enumeration Date
2015-06-04
Last Update Date
2015-06-04
Business Address
-- AUSTIN ANDERSON COTA/L
308 W EMMA ST
UNION GAP, WA 98903-1940
Phone number: 509-248-1985
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Mailing Address
-- AUSTIN ANDERSON COTA/L
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 503-783-2482
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