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1417114273
JAMES WADE STREAM
FULLERTON, CA
NPI
1417114273
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA OT 8240)
Enumeration Date
2008-05-20
Last Update Date
2008-05-20
Business Address
Mr. JAMES WADE STREAM OTR/L
2222 N HARBOR BLVD
FULLERTON, CA 92835-2605
Phone number: 714-333-1555
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Mailing Address
Mr. JAMES WADE STREAM OTR/L
1727 W GLENOAKS AVE APT 110
ANAHEIM, CA 92801-4005
Phone number: 714-262-3861
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