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1609319748
STACEY TARNOVSKY
SAN DIEGO, CA
NPI
1609319748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 16859)
Enumeration Date
2016-11-21
Last Update Date
2016-11-21
Business Address
-- STACEY TARNOVSKY MOT
3731 6TH AVE STE 103
SAN DIEGO, CA 92103-4383
Phone number: 619-291-3515
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Mailing Address
-- STACEY TARNOVSKY MOT
3731 6TH AVE STE 103
SAN DIEGO, CA 92103-4383
Phone number: 619-291-3515
Copy
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