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1184321028
KENNETH NERI CRUTCHFIELD
ANAHEIM, CA
NPI
1184321028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA 4182)
Enumeration Date
2023-02-10
Last Update Date
2023-02-10
Business Address
KENNETH NERI CRUTCHFIELD
1440 S EUCLID ST
ANAHEIM, CA 92802-2156
Phone number: 714-535-7264
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Mailing Address
KENNETH NERI CRUTCHFIELD
711 N ROSE DR APT B309
PLACENTIA, CA 92870-7540
Phone number: 714-732-3716
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