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1528757044
LUCY MULYATNO
RIVERSIDE, CA
NPI
1528757044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 24943)
Enumeration Date
2023-05-01
Last Update Date
2023-05-01
Business Address
LUCY MULYATNO
4334 LATHAM ST STE 110
RIVERSIDE, CA 92501-1748
Phone number: 909-251-1321
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Mailing Address
LUCY MULYATNO
4334 LATHAM ST
RIVERSIDE, CA 92501-1748
Phone number:
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