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1134553944
TAYLOR BROOKE JAQUAY
SAN DIEGO, CA
NPI
1134553944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225800000X Recreation Therapist
(Licence: CA 61540)
Enumeration Date
2013-08-28
Last Update Date
2013-08-28
Business Address
-- TAYLOR BROOKE JAQUAY CTRS
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8291
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Mailing Address
-- TAYLOR BROOKE JAQUAY CTRS
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8291
Copy
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