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1598510315
JAN MARINESS MANIWAN
GLENDALE, CA
NPI
1598510315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 13864)
Enumeration Date
2024-04-23
Last Update Date
2024-04-23
Business Address
JAN MARINESS MANIWAN OTR/L
805 GLENVISTA DR
GLENDALE, CA 91206-2619
Phone number: 818-634-9580
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Mailing Address
JAN MARINESS MANIWAN OTR/L
1011 N LOUISE ST APT 5
GLENDALE, CA 91207-1927
Phone number: 818-940-6923
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