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1851866123
RALPH JACOB
PEMBROKE PINES, FL
NPI
1851866123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL 13233)
Enumeration Date
2018-10-12
Last Update Date
2018-10-12
Business Address
RALPH JACOB COTA
10261 PINES BLVD
PEMBROKE PINES, FL 33026-6008
Phone number: 954-356-2878
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Mailing Address
RALPH JACOB COTA
10261 PINES BLVD
PEMBROKE PINES, FL 33026-6008
Phone number: 287-895-4356
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