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1801558770
LEANN RENEE VITALE
COSTA MESA, CA
NPI
1801558770
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 16263)
Enumeration Date
2021-10-08
Last Update Date
2021-10-21
Business Address
LEANN RENEE VITALE OT
3324 ALABAMA CIR
COSTA MESA, CA 92626-2029
Phone number: 609-338-7175
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Mailing Address
LEANN RENEE VITALE OT
3324 ALABAMA CIR
COSTA MESA, CA 92626-2029
Phone number: 714-406-3447
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