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1396384939
JACKSON CABRERA LAUS
LOS ANGELES, CA
NPI
1396384939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA 4628)
Enumeration Date
2019-12-30
Last Update Date
2019-12-30
Business Address
JACKSON CABRERA LAUS COTA/L
2800 RIVERSIDE DR APT 203
LOS ANGELES, CA 90039-2166
Phone number: 323-434-1414
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Mailing Address
JACKSON CABRERA LAUS COTA/L
2800 RIVERSIDE DR APT 203
LOS ANGELES, CA 90039-2166
Phone number: 323-434-1414
Copy
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