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1457083792
GRACE WAN
ANAHEIM, CA
NPI
1457083792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA 5957)
Enumeration Date
2022-06-27
Last Update Date
2022-06-27
Business Address
GRACE WAN COTA/L
140 S CHAPARRAL CT STE 160
ANAHEIM, CA 92808-2283
Phone number: 714-794-5889
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Mailing Address
GRACE WAN COTA/L
1362 N SCHOONER LN
ANAHEIM, CA 92801-1778
Phone number: 480-278-1030
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