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1013682772
MICHELLE ALFONSO
PLACENTIA, CA
NPI
1013682772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA 5663)
Enumeration Date
2021-08-13
Last Update Date
2021-08-13
Business Address
MICHELLE ALFONSO COTA/L
1180 N BRADFORD AVE
PLACENTIA, CA 92870-3301
Phone number: 714-996-9292
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Mailing Address
MICHELLE ALFONSO COTA/L
3023 LEEWARD AVE APT 7
LOS ANGELES, CA 90005-4407
Phone number: 213-216-0683
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