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1629643853
ERIC CASUCO DIPAD
STOCKTON, CA
NPI
1629643853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA 5609)
Enumeration Date
2021-05-20
Last Update Date
2021-05-20
Business Address
ERIC CASUCO DIPAD
442 E HAMPTON ST
STOCKTON, CA 95204-5519
Phone number: 209-466-0456
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Mailing Address
ERIC CASUCO DIPAD
3233 EXPLORER DR
SACRAMENTO, CA 95827-2833
Phone number: 916-502-5634
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