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1942638390
CANDICE ROTH
SILVER CITY, NM
NPI
1942638390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AZ 5591)
Enumeration Date
2013-10-23
Last Update Date
2013-10-23
Business Address
-- CANDICE ROTH
81 BURKE LOOP
SILVER CITY, NM 88061-8700
Phone number: 575-519-0617
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Mailing Address
-- CANDICE ROTH
81 BURKE LOOP
SILVER CITY, NM 88061-8700
Phone number: 575-519-0617
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