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1215634936
SHAWN MAC
ARCADIA, CA
NPI
1215634936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA 4719)
Enumeration Date
2023-02-13
Last Update Date
2023-02-13
Business Address
SHAWN MAC COTA/L
400 W HUNTINGTON DR
ARCADIA, CA 91007-3470
Phone number: 626-445-2421
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Mailing Address
SHAWN MAC COTA/L
333 CLARY AVE APT D
SAN GABRIEL, CA 91776-1362
Phone number:
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