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1205045911
JOHN MARK FETHERLIN
SAN DIEGO, CA
NPI
1205045911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 2204)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
Mr. JOHN MARK FETHERLIN OTR
2999 HEALTH CENTER DR
SAN DIEGO, CA 92123-2762
Phone number: 858-939-3165
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Mailing Address
Mr. JOHN MARK FETHERLIN OTR
7467 MISSION GORGE RD SPACE 176
SANTEE, CA 92071-3320
Phone number: 619-749-4475
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