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1912528498
BROOKE NICOLE MCDANIEL
TYLER, TX
NPI
1912528498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 215001)
Enumeration Date
2020-05-06
Last Update Date
2020-05-06
Business Address
BROOKE NICOLE MCDANIEL COTA
3414 GOLDEN RD
TYLER, TX 75701-8336
Phone number: 903-939-7500
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Mailing Address
BROOKE NICOLE MCDANIEL COTA
227 WILLOWBROOK LN
WHITEHOUSE, TX 75791-3499
Phone number: 903-720-0615
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