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1770649352
LISA S CHAN
SAN JOSE, CA
NPI
1770649352
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Former Name
SIUMEN CHAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA OT5979)
Enumeration Date
2006-12-28
Last Update Date
2007-07-08
Business Address
-- LISA S CHAN O.T.R.
696 E SANTA CLARA ST SUITE 209
SAN JOSE, CA 95112-1911
Phone number: 408-832-5839
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Mailing Address
-- LISA S CHAN O.T.R.
PO BOX 610638
SAN JOSE, CA 95161-0638
Phone number: 408-832-5839
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