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1255843793
SANDRA SUNGMI LEE
BREA, CA
NPI
1255843793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA 4158)
Enumeration Date
2017-10-24
Last Update Date
2017-10-24
Business Address
SANDRA SUNGMI LEE COTA/L
500 W CENTRAL AVE STE B
BREA, CA 92821-3036
Phone number: 714-529-5022
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Mailing Address
SANDRA SUNGMI LEE COTA/L
1410 S ZEKE AND ELSIE AVE
LA HABRA, CA 90631-6370
Phone number: 562-480-4282
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