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1558941567
KATHLEEN LARA ACOSTA ERESE
LA MESA, CA
NPI
1558941567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 21391)
Enumeration Date
2021-04-13
Last Update Date
2021-04-13
Business Address
KATHLEEN LARA ACOSTA ERESE
5905 SEVERIN DR
LA MESA, CA 91942-3806
Phone number: 619-589-2606
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Mailing Address
KATHLEEN LARA ACOSTA ERESE
5905 SEVERIN DR
LA MESA, CA 91942-3806
Phone number:
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