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1710104591
MICHAEL DOUGLAS WHITE
WOODLAND HILLS, CA
NPI
1710104591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 6739)
Enumeration Date
2007-04-20
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL DOUGLAS WHITE otrl
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367-6701
Phone number: 818-719-3935
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Mailing Address
Mr. MICHAEL DOUGLAS WHITE otrl
1737 WHITLEY AVE 301
LOS ANGELES, CA 90028-4862
Phone number: 323-445-0898
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