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OLGA PATRICIA NINO LAGOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
930 W CENTERVILLE RD STE 370, GARLAND, TX 75041-5823
(469) 364-8680
Mailing address
6406 BLUEBONNET DR, ROWLETT, TX 75089-1682
(469) 363-3221

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214890
TX

Other

Enumeration date
11/30/2017
Last updated
11/30/2017
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