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1740340660
MARY COLLEEN FORTIS
SANTA CRUZ, CA
NPI
1740340660
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA OT3899)
Enumeration Date
2006-12-11
Last Update Date
2020-05-28
Business Address
-- MARY COLLEEN FORTIS O.T.
2025 SOQUEL AVE
SANTA CRUZ, CA 95062-1323
Phone number: 831-423-4111
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Mailing Address
-- MARY COLLEEN FORTIS O.T.
PO BOX 1833
SANTA CRUZ, CA 95061-1833
Phone number:
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