BRYAN CODY DETERMAN

TRUTH OR CONSEQUENCES, NM
NPI1851551709
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NM  2404)
Enumeration Date2008-06-13
Last Update Date2008-06-13
Business Address
Mr. BRYAN CODY DETERMAN COTA
1400 N SILVER ST
TRUTH OR CONSEQUENCES, NM 87901-1957
Phone number: 575-894-7855
Mailing Address
Mr. BRYAN CODY DETERMAN COTA
600 W ALAMEDA ST
ROSWELL, NM 88203-4402
Phone number: 575-623-0882
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