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1568298305
POLYANNA MARIE LACANG
ROSEVILLE, CA
NPI
1568298305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 26890)
Enumeration Date
2024-09-09
Last Update Date
2024-09-09
Business Address
POLYANNA MARIE LACANG MA, OTR/L
198 CIRBY WAY STE 140
ROSEVILLE, CA 95678-6430
Phone number: 916-773-8282
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Mailing Address
POLYANNA MARIE LACANG MA, OTR/L
1900 BLUE OAKS BLVD APT 1115
ROSEVILLE, CA 95747-8447
Phone number: 925-548-3615
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