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1134665151
MICHAEL ANTONINO
FRESNO, CA
NPI
1134665151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA OTA3735)
Enumeration Date
2017-01-13
Last Update Date
2017-01-13
Business Address
MICHAEL ANTONINO COTA/L
5555 N FRESNO ST
FRESNO, CA 93710-6006
Phone number: 559-579-2545
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Mailing Address
MICHAEL ANTONINO COTA/L
5604 N FLORA AVE
FRESNO, CA 93710-6327
Phone number: 559-579-2545
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