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1447851688
EBONIE L CARLIS
CONCORD, CA
NPI
1447851688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA OT21551)
Enumeration Date
2020-11-04
Last Update Date
2020-11-04
Business Address
EBONIE L CARLIS OT
1470 CIVIC CT SUITE 320
CONCORD, CA 94520
Phone number: 925-326-2211
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Mailing Address
EBONIE L CARLIS OT
1470 CIVIC CT SUITE 320
CONCORD, CA 94520
Phone number: 925-326-2211
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