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1710384318
LOURDES LICUANAN
BETHESDA, MD
NPI
1710384318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: DC OT010000606)
Enumeration Date
2014-11-25
Last Update Date
2014-11-25
Business Address
-- LOURDES LICUANAN SLP
5606 SHIELDS DR
BETHESDA, MD 20817-3571
Phone number: 301-493-0023
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Mailing Address
-- LOURDES LICUANAN SLP
2500 Q ST NW
WASHINGTON, DC 20007-4373
Phone number: 864-230-0468
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