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1215497821
MARY MAVERICK
LOS ANGELES, CA
NPI
1215497821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 12979)
Enumeration Date
2019-03-20
Last Update Date
2019-03-20
Business Address
MARY MAVERICK OTR/L
855 N FAIRFAX AVE
LOS ANGELES, CA 90046-7207
Phone number: 714-646-8300
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Mailing Address
MARY MAVERICK OTR/L
357 S CURSON AVE APT 9K
LOS ANGELES, CA 90036-5274
Phone number: 323-934-1076
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