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1689286957
ETHIE M TATE-QUINALTY
RIVERSIDE, CA
NPI
1689286957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA OT10656)
Enumeration Date
2020-08-18
Last Update Date
2020-08-18
Business Address
ETHIE M TATE-QUINALTY OTR/L
7898 CALIFORNIA AVE
RIVERSIDE, CA 92504-2597
Phone number: 951-643-3699
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Mailing Address
ETHIE M TATE-QUINALTY OTR/L
7016 SVL BOX
VICTORVILLE, CA 92395-5107
Phone number: 760-953-9267
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