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1205216843
SAMANTHA E NUSBAUM
SAN DIEGO, CA
NPI
1205216843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 14913)
Enumeration Date
2015-06-08
Last Update Date
2015-06-08
Business Address
-- SAMANTHA E NUSBAUM
1281 9TH AVE UNIT 1312
SAN DIEGO, CA 92101-4656
Phone number: 516-316-1110
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Mailing Address
-- SAMANTHA E NUSBAUM
1281 9TH AVE UNIT 1312
SAN DIEGO, CA 92101-4656
Phone number: 516-316-1110
Copy
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