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1780208728
VON JARED OMO
SAN DIEGO, CA
NPI
1780208728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA 2050)
Enumeration Date
2020-06-05
Last Update Date
2020-06-05
Business Address
VON JARED OMO
1350 EUCLID AVE
SAN DIEGO, CA 92105-5424
Phone number: 619-263-2166
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Mailing Address
VON JARED OMO
5440 BALTIMORE DR UNIT 171
LA MESA, CA 91942-2062
Phone number: 619-813-8895
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