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1013520725
TALIA M BENTIVENGO
TEMECULA, CA
NPI
1013520725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA 5358)
Enumeration Date
2020-08-24
Last Update Date
2021-09-20
Business Address
TALIA M BENTIVENGO COTA
28991 OLD TOWN FRONT ST STE 101
TEMECULA, CA 92590-2858
Phone number: 951-556-8157
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Mailing Address
TALIA M BENTIVENGO COTA
28991 OLD TOWN FRONT ST STE 101
TEMECULA, CA 92590-2858
Phone number: 951-556-8157
Copy
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