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1003066788
KRISTEN M MANECKE
LA JOLLA, CA
NPI
1003066788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 2537)
Enumeration Date
2008-09-30
Last Update Date
2014-02-03
Business Address
-- KRISTEN M MANECKE O.T.
4130 LA JOLLA VILLAGE DR STE 103
LA JOLLA, CA 92037-9121
Phone number: 858-455-8584
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Mailing Address
-- KRISTEN M MANECKE O.T.
4130 LA JOLLA VILLAGE DR STE 103
LA JOLLA, CA 92037-9121
Phone number: 858-455-8584
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