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1396419818
JEREMY LUENA
SANTA ROSA, CA
NPI
1396419818
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0019X Occupational Therapist, Physical Rehabilitation
(Licence: CA 5317)
Enumeration Date
2021-08-07
Last Update Date
2021-08-07
Business Address
Mr. JEREMY LUENA COTA/L
4650 HOEN AVE
SANTA ROSA, CA 95405-9407
Phone number: 707-546-0471
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Mailing Address
Mr. JEREMY LUENA COTA/L
910 KAY AVE
TRINIDAD, CA 95570-9727
Phone number: 860-301-4739
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