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1730897455
STACIE CORNELL
SAN DIEGO, CA
NPI
1730897455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 24341)
Enumeration Date
2022-11-10
Last Update Date
2022-11-10
Business Address
Dr. STACIE CORNELL OTD
13223 BLACK MOUNTAIN RD # 1358
SAN DIEGO, CA 92129-2698
Phone number: 858-753-5082
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Mailing Address
Dr. STACIE CORNELL OTD
13223 BLACK MOUNTAIN RD # 1358
SAN DIEGO, CA 92129-2698
Phone number:
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