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1659027852
JUSTIN K CHAN
BURBANK, CA
NPI
1659027852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 464040)
Enumeration Date
2022-02-25
Last Update Date
2022-02-25
Business Address
JUSTIN K CHAN
2211 W MAGNOLIA BLVD # 295
BURBANK, CA 91506-1753
Phone number: 818-955-8303
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Mailing Address
JUSTIN K CHAN
15576 TETLEY ST
HACIENDA HEIGHTS, CA 91745-4502
Phone number: 626-695-5812
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