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1902387681
GRISELDA DE LEON
SOCORRO, TX
NPI
1902387681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 212084)
Enumeration Date
2018-08-22
Last Update Date
2018-08-22
Business Address
GRISELDA DE LEON COTA
10064 ALAMEDA AVE
SOCORRO, TX 79927-1801
Phone number: 915-773-0744
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Mailing Address
GRISELDA DE LEON COTA
12446 PASEO BLANCO DR
EL PASO, TX 79928-5681
Phone number: 915-588-5292
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