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1720522717
CHAD ROMAN
SAN DIEGO, CA
NPI
1720522717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA OTA3618)
Enumeration Date
2016-12-09
Last Update Date
2016-12-09
Business Address
-- CHAD ROMAN
1201 34TH ST
SAN DIEGO, CA 92102-2416
Phone number: 619-232-2946
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Mailing Address
-- CHAD ROMAN
10855 NW 1ST ST
PEMBROKE PINES, FL 33026-4090
Phone number: 305-780-4279
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