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1548712011
JEFF DIMENGO
SAN FRANCISCO, CA
NPI
1548712011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 12507)
Enumeration Date
2016-10-31
Last Update Date
2019-06-13
Business Address
JEFF DIMENGO OTR/L
2425 GEARY BLVD
SAN FRANCISCO, CA 94115-3358
Phone number: 415-833-2000
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Mailing Address
JEFF DIMENGO OTR/L
140 GARDENSIDE DR APT 303
SAN FRANCISCO, CA 94131-1325
Phone number: 330-990-2030
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