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1184275125
SHANAE VILLARREAL BARLOW
SAN DIEGO, CA
NPI
1184275125
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Former Name
SHANAE DIANE VILLARREAL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 112196)
Enumeration Date
2019-09-20
Last Update Date
2019-09-20
Business Address
SHANAE VILLARREAL BARLOW OTR
6264 FERRIS SQ
SAN DIEGO, CA 92121-3204
Phone number: 619-940-4128
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Mailing Address
SHANAE VILLARREAL BARLOW OTR
10512 CALLE TAMARINDO UNIT 5
SAN DIEGO, CA 92127-8800
Phone number:
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