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1215652664
AUSTIN MIGUEL
ROSEVILLE, CA
NPI
1215652664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 24230)
Enumeration Date
2022-10-07
Last Update Date
2022-10-07
Business Address
AUSTIN MIGUEL OTR/L
5161 FOOTHILLS BLVD
ROSEVILLE, CA 95747-6546
Phone number: 800-967-4667
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Mailing Address
AUSTIN MIGUEL OTR/L
1409 BLUE SQUIRREL ST
ROSEVILLE, CA 95747-4639
Phone number:
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