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1326872102
MARISSA JEAN SHAW
WOODLAND, CA
NPI
1326872102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 21112)
Enumeration Date
2024-08-26
Last Update Date
2024-08-26
Business Address
Miss MARISSA JEAN SHAW MOT, OTR/L
1321 COLLEGE ST STE B
WOODLAND, CA 95695-4706
Phone number: 530-668-1010
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Mailing Address
Miss MARISSA JEAN SHAW MOT, OTR/L
1805 DONNER AVE APT 3
DAVIS, CA 95618-0366
Phone number: 530-902-1482
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