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1629560990
NICOLE MARIE PETRUSO
LA MESA, CA
NPI
1629560990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: CA 26623)
Enumeration Date
2018-06-03
Last Update Date
2024-11-15
Business Address
NICOLE MARIE PETRUSO OTR
8030 LA MESA BLVD # 416
LA MESA, CA 91942-0335
Phone number: 619-567-9448
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Mailing Address
NICOLE MARIE PETRUSO OTR
8826 JACKIE DR
SAN DIEGO, CA 92119-1418
Phone number: 619-992-8364
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