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1245393750
JAMIE HISA MIZUHARA
ORANGE, CA
NPI
1245393750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 5875)
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
MISS JAMIE HISA MIZUHARA MA OTR-L
1301 W PROVIDENCE AVE
ORANGE, CA 92868-3808
Phone number: 714-639-4990
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Mailing Address
MISS JAMIE HISA MIZUHARA MA OTR-L
1862 E PALM DR
COVINA, CA 91724-3127
Phone number: 626-233-2131
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