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Individual

JORGE LORENZO SOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
4700 N. MESA ST. F-4, EL PASO, TX 79912
(915) 704-1094
Mailing address
4700 N. MESA ST. F-4, EL PASO, TX 79912
(915) 704-1094

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215448
TX

Other

Enumeration date
11/27/2018
Last updated
11/27/2018
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