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1316668460
HEATHER LOUISE LOGUE
SAN DIEGO, CA
NPI
1316668460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA 4621)
Enumeration Date
2022-09-07
Last Update Date
2022-09-07
Business Address
HEATHER LOUISE LOGUE COTA/L
13101 HARTFIELD AVE
SAN DIEGO, CA 92130-1511
Phone number: 858-336-9296
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Mailing Address
HEATHER LOUISE LOGUE COTA/L
13101 HARTFIELD AVE
SAN DIEGO, CA 92130-1511
Phone number: 858-336-9296
Copy
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