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1285406157
AMANDA EILEEN LACCONE
MILWAUKIE, OR
NPI
1285406157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 25625)
Enumeration Date
2023-10-24
Last Update Date
2023-10-24
Business Address
AMANDA EILEEN LACCONE OTR/L
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number: 971-206-5202
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Mailing Address
AMANDA EILEEN LACCONE OTR/L
4829 CALIFORNIA ST
SAN FRANCISCO, CA 94118-1112
Phone number: 619-729-4902
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