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1013503580
OTIS ENOCH
WEST COVINA, CA
NPI
1013503580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 11675)
Enumeration Date
2020-12-17
Last Update Date
2020-12-17
Business Address
OTIS ENOCH
1936 S GRANDVIEW LN
WEST COVINA, CA 91792-1317
Phone number: 818-566-3888
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Mailing Address
OTIS ENOCH
1936 S GRANDVIEW LN
WEST COVINA, CA 91792-1317
Phone number: 818-566-3888
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