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1902945769
TISH TENA
ALBUQUERQUE, NM
NPI
1902945769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NM 1914)
Enumeration Date
2007-02-06
Last Update Date
2007-07-08
Business Address
MS. TISH TENA COTA
4216 BALLOON PARK RD NE
ALBUQUERQUE, NM 87109-5801
Phone number: 505-344-5470
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Mailing Address
MS. TISH TENA COTA
7639 CALLE COMODO NE
ALBUQUERQUE, NM 87113-2365
Phone number: 505-203-2495
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