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1265873004
PANGDEE HER
MODESTO, CA
NPI
1265873004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 10871)
Enumeration Date
2013-07-09
Last Update Date
2021-10-08
Business Address
PANGDEE HER OTR/L
2633 W RUMBLE RD
MODESTO, CA 95350-0154
Phone number: 209-577-1001
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Mailing Address
PANGDEE HER OTR/L
4209 SNOWFIRE DR
MODESTO, CA 95357-0898
Phone number: 209-629-5289
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