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1699230649
ELYSSA JEAN GASTELLUM
LONG BEACH, CA
NPI
1699230649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA 4720)
Enumeration Date
2019-02-04
Last Update Date
2019-02-04
Business Address
ELYSSA JEAN GASTELLUM COTA/L
249 E OCEAN BLVD STE 400
LONG BEACH, CA 90802-4806
Phone number: 888-808-7838
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Mailing Address
ELYSSA JEAN GASTELLUM COTA/L
3704 LINDEN AVE
LONG BEACH, CA 90807-3413
Phone number: 805-757-3108
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