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1700432770
KYLE CHARLES GARCIA
PETALUMA, CA
NPI
1700432770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 20316)
Enumeration Date
2019-08-14
Last Update Date
2019-08-14
Business Address
KYLE CHARLES GARCIA OTR/L
523 HAYES LN
PETALUMA, CA 94952-4011
Phone number: 707-763-2457
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Mailing Address
KYLE CHARLES GARCIA OTR/L
615 HEALDSBURG AVE UNIT 216
SANTA ROSA, CA 95401-5168
Phone number: 510-714-8941
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