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1437771003
THANH LUONG
SANTA ROSA, CA
NPI
1437771003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 19632)
Enumeration Date
2020-05-17
Last Update Date
2021-12-28
Business Address
THANH LUONG OTR/L
4051 LOUIS KROHN DR
SANTA ROSA, CA 95407-2514
Phone number: 707-327-6786
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Mailing Address
THANH LUONG OTR/L
4051 LOUIS KROHN DR
SANTA ROSA, CA 95407-2514
Phone number:
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