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1528029832
STACIA LYNN EDWARDS
SAN DIEGO, CA
NPI
1528029832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: CA OT 7498)
Enumeration Date
2006-03-28
Last Update Date
2007-07-08
Business Address
Miss STACIA LYNN EDWARDS BS, MOT, OTR/L
11665 AVENA PL SUITE 106
SAN DIEGO, CA 92128-2421
Phone number: 858-673-5437
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Mailing Address
Miss STACIA LYNN EDWARDS BS, MOT, OTR/L
18674 CAMINITO CANTILENA # 237
SAN DIEGO, CA 92128-6127
Phone number: 619-252-5762
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