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1932700804
VIJAYA MOKTAN
NORTHGLENN, CO
NPI
1932700804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CO 0001367)
Enumeration Date
2020-11-05
Last Update Date
2020-11-05
Business Address
VIJAYA MOKTAN
12275 CLAUDE CT UNIT 1235
NORTHGLENN, CO 80241-3365
Phone number: 443-912-2720
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Mailing Address
VIJAYA MOKTAN
12275 CLAUDE CT UNIT 1235
NORTHGLENN, CO 80241-3365
Phone number: 443-912-2720
Copy
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