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1043042526
ROSEANNE SOFIA EVANGELISTA BLANCO
SANTA MONICA, CA
NPI
1043042526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 26770)
Enumeration Date
2024-08-14
Last Update Date
2024-08-14
Business Address
ROSEANNE SOFIA EVANGELISTA BLANCO OTR/L
1932 14TH ST
SANTA MONICA, CA 90404-4605
Phone number: 310-344-2276
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Mailing Address
ROSEANNE SOFIA EVANGELISTA BLANCO OTR/L
3822 MONTCLAIR ST
LOS ANGELES, CA 90018-2363
Phone number: 808-451-7049
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