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1457749970
JORGE PERALTA
SANTA ANA, CA
NPI
1457749970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA 1979)
Enumeration Date
2015-01-06
Last Update Date
2015-01-06
Business Address
-- JORGE PERALTA COTA/L
2505 W POMONA ST
SANTA ANA, CA 92704-4050
Phone number: 714-296-0695
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Mailing Address
-- JORGE PERALTA COTA/L
2505 W POMONA ST
SANTA ANA, CA 92704-4050
Phone number: 714-296-0695
Copy
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