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1083732283
VICTOR MEDINA
SAN DIEGO, CA
NPI
1083732283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 6030)
Enumeration Date
2007-03-26
Last Update Date
2021-10-06
Business Address
Mr. VICTOR MEDINA M.A. O.T.R
4655 RUFFNER ST STE 270
SAN DIEGO, CA 92111-2275
Phone number: 180-078-7678
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Mailing Address
Mr. VICTOR MEDINA M.A. O.T.R
6315 PRIMROSE AVE APT 3
LOS ANGELES, CA 90068-2873
Phone number: 310-871-7443
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