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1811256639
MILITSA MIMI DRAGICEVICH
VAN NUYS, CA
NPI
1811256639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 6555)
Enumeration Date
2012-05-14
Last Update Date
2018-09-10
Business Address
MILITSA MIMI DRAGICEVICH OT
13633 VICTORY BLVD
VAN NUYS, CA 91401-1735
Phone number: 818-988-7156
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Mailing Address
MILITSA MIMI DRAGICEVICH OT
12431 MAGNOLIA ST
GARDEN GROVE, CA 92841-3321
Phone number: 714-539-3155
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