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1801628672
YVETTE VANDIVER
SANTA FE, NM
NPI
1801628672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NM 2024-0128)
Enumeration Date
2024-08-19
Last Update Date
2024-08-19
Business Address
YVETTE VANDIVER OTR/L
455 SAINT MICHAELS DR
SANTA FE, NM 87505-7601
Phone number: 505-913-3361
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Mailing Address
YVETTE VANDIVER OTR/L
10776 24TH ST
LIVE OAK, FL 32060-9221
Phone number: 561-262-4297
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