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1063111813
EDWARD JOSEPH SEVILLA
SACRAMENTO, CA
NPI
1063111813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 24739)
Enumeration Date
2023-03-01
Last Update Date
2023-03-01
Business Address
EDWARD JOSEPH SEVILLA OTR/L
1610 ARDEN WAY STE 195
SACRAMENTO, CA 95815-4035
Phone number: 137-991-6649
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Mailing Address
EDWARD JOSEPH SEVILLA OTR/L
2575 BEACHWOOD DR
MERCED, CA 95348-3608
Phone number: 209-761-9890
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