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1740993807
SIDNEY DEATHERAGE
PALM DESERT, CA
NPI
1740993807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA 6302)
Enumeration Date
2023-01-03
Last Update Date
2023-01-03
Business Address
SIDNEY DEATHERAGE
77564 COUNTRY CLUB DR STE 401B
PALM DESERT, CA 92211-6246
Phone number: 760-772-2838
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Mailing Address
SIDNEY DEATHERAGE
77564 COUNTRY CLUB DR STE 401B
PALM DESERT, CA 92211-6246
Phone number: 760-772-2838
Copy
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