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1497063564
EDMUNDO SIMON MARTINEZ III
SANTA ROSA, CA
NPI
1497063564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 4140)
Enumeration Date
2010-09-22
Last Update Date
2010-09-22
Business Address
Mr. EDMUNDO SIMON MARTINEZ III OTR
5555 MONTGOMERY DR.
SANTA ROSA, CA 95409
Phone number: 707-579-6972
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Mailing Address
Mr. EDMUNDO SIMON MARTINEZ III OTR
4560 SE INTERNATIONAL WAY STE. 100
MILWAUKIE, OR 97222
Phone number: 971-206-5200
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