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1376018267
ELAINE MEDINA
SAN JOSE, CA
NPI
1376018267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 19103)
Enumeration Date
2018-10-08
Last Update Date
2021-12-30
Business Address
ELAINE MEDINA
1016 WOODHOLLY CT
SAN JOSE, CA 95116-3151
Phone number: 408-691-1388
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Mailing Address
ELAINE MEDINA
1016 WOODHOLLY CT
SAN JOSE, CA 95116-3151
Phone number: 408-691-1388
Copy
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