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1740636232
ETHELAINE CENTENO
SAN MARCOS, CA
NPI
1740636232
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 3520)
Enumeration Date
2016-05-13
Last Update Date
2016-05-13
Business Address
-- ETHELAINE CENTENO OTR
1615 S. RANCHO SANTA FE ROAD
SAN MARCOS, CA 92078
Phone number: 619-339-5606
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Mailing Address
-- ETHELAINE CENTENO OTR
PO BOX 507073
SAN DIEGO, CA 92150
Phone number:
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