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1437759800
EDWARD R CASILAG
SANTA ROSA, CA
NPI
1437759800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224ZF0002X Occupational Therapy Assistant, Feeding, Eating & Swallowing
(Licence: CA OTA5372)
Enumeration Date
2020-10-27
Last Update Date
2020-10-27
Business Address
Mr. EDWARD R CASILAG COTA/L
3751 MONTGOMERY DR
SANTA ROSA, CA 95405-5214
Phone number: 707-525-1250
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Mailing Address
Mr. EDWARD R CASILAG COTA/L
4218 EAGLES HUNT RD
MILLINGTON, TN 38053-2251
Phone number: 901-275-7945
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