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1083811251
ANECITO TEDOCO
LOS ANGELES, CA
NPI
1083811251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 00000774)
Enumeration Date
2007-06-29
Last Update Date
2007-07-08
Business Address
-- ANECITO TEDOCO ot
6041 CADILLAC AVE
LOS ANGELES, CA 90034-1702
Phone number: 323-857-2000
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Mailing Address
-- ANECITO TEDOCO ot
393 E WALNUT ST 3RD FLOOR - PHR SYSTEMS
PASADENA, CA 91188-0001
Phone number: 626-405-7914
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