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1609527894
ALEXIS KILLAM
SAN DIEGO, CA
NPI
1609527894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 22962)
Enumeration Date
2022-01-10
Last Update Date
2022-01-10
Business Address
ALEXIS KILLAM
4035 RANDOLPH ST
SAN DIEGO, CA 92103-1712
Phone number: 626-422-5006
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Mailing Address
ALEXIS KILLAM
4035 RANDOLPH ST
SAN DIEGO, CA 92103-1712
Phone number: 626-422-5006
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