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1578074605
JEFFREY QUACH
LOS ANGELES, CA
NPI
1578074605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 18004)
Enumeration Date
2017-10-16
Last Update Date
2017-10-16
Business Address
JEFFREY QUACH OTR
619 N FAIRFAX AVE
LOS ANGELES, CA 90036-1714
Phone number: 323-651-0043
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Mailing Address
JEFFREY QUACH OTR
688 S BERENDO ST APT 712
LOS ANGELES, CA 90005-1783
Phone number:
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