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1073387924
STACIE M GOMEZ
CHULA VISTA, CA
NPI
1073387924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 25584)
Enumeration Date
2023-11-10
Last Update Date
2023-11-10
Business Address
STACIE M GOMEZ OTD, OTR/L
2437 FENTON ST
CHULA VISTA, CA 91914-3517
Phone number: 619-656-5176
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Mailing Address
STACIE M GOMEZ OTD, OTR/L
8564 ECHO DR APT 15
LA MESA, CA 91941-6665
Phone number: 702-300-1627
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