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1225161565
LICHELLE AYESHA FERNANDO
LOS ANGELES, CA
NPI
1225161565
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: CA 9200)
Enumeration Date
2007-03-14
Last Update Date
2007-10-26
Business Address
Miss LICHELLE AYESHA FERNANDO OTR
4650 W SUNSET BLVD
LOS ANGELES, CA 90027-6062
Phone number: 323-669-2118
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Mailing Address
Miss LICHELLE AYESHA FERNANDO OTR
4335 WILLIS AVE # 103
SHERMAN OAKS, CA 91403
Phone number: 773-895-4575
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