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1467158980
JASEN PACIS
TUSTIN, CA
NPI
1467158980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA OT24478)
Enumeration Date
2023-02-06
Last Update Date
2023-02-06
Business Address
JASEN PACIS OTR/L
111 FASHION LN UNIT 210
TUSTIN, CA 92780-3306
Phone number: 949-590-9350
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Mailing Address
JASEN PACIS OTR/L
16922 NEW PINE DR
HACIENDA HEIGHTS, CA 91745-5741
Phone number: 714-883-2061
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