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1013125863
EDWARD DE GUZMAN DOMANTAY
ALAMEDA, CA
NPI
1013125863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA OT8381)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
Mr. EDWARD DE GUZMAN DOMANTAY
1114 WILLOW ST B
ALAMEDA, CA 94501-4374
Phone number: 510-864-0763
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Mailing Address
Mr. EDWARD DE GUZMAN DOMANTAY
1114 WILLOW ST B
ALAMEDA, CA 94501-4374
Phone number: 510-864-0763
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