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1396290144
MATTHEW HEFFERNAN
OAKLAND, CA
NPI
1396290144
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA OT16517)
Enumeration Date
2016-08-22
Last Update Date
2016-08-22
Business Address
MATTHEW HEFFERNAN OTR/L
3830 CLARKE ST APT B NONE
OAKLAND, CA 94609-2783
Phone number: 209-380-5122
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Mailing Address
MATTHEW HEFFERNAN OTR/L
3830 CLARKE ST APT B NONE
OAKLAND, CA 94609-2783
Phone number: 209-380-5122
Copy
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