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1487116943
ISRAEL IVAN SALCIDO
CHULA VISTA, CA
NPI
1487116943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225XM0800X Occupational Therapist Mental Health
(Licence: CA Y4560897)
Enumeration Date
2019-04-03
Last Update Date
2019-04-03
Business Address
ISRAEL IVAN SALCIDO
240 QUINTARD ST APT 53
CHULA VISTA, CA 91911-4933
Phone number: 619-410-9926
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Mailing Address
ISRAEL IVAN SALCIDO
240 QUINTARD ST APT 53
CHULA VISTA, CA 91911-4933
Phone number:
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