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1902360662
MATTHEW EARET HALL
WACO, TX
NPI
1902360662
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 208650)
Enumeration Date
2019-01-28
Last Update Date
2019-01-28
Business Address
MATTHEW EARET HALL COTA
1010 DALLAS ST
WACO, TX 76704-1711
Phone number: 254-752-9774
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Mailing Address
MATTHEW EARET HALL COTA
PO BOX 1525
MEXIA, TX 76667-1525
Phone number: 254-625-0361
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