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1144804394
SHANE GEMOTO
REDLANDS, CA
NPI
1144804394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: CA 12130)
Enumeration Date
2021-05-12
Last Update Date
2021-12-20
Business Address
SHANE GEMOTO OTR/L
10431 COMMERCE ST STE A
REDLANDS, CA 92374-0110
Phone number: 909-735-7654
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Mailing Address
SHANE GEMOTO OTR/L
10431 COMMERCE ST STE A
REDLANDS, CA 92374-0110
Phone number: 909-735-7654
Copy
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