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1861454415
DEANNA SUE MEDINA
JBER, AK
NPI
1861454415
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Former Name
DEANNA SUE PEKAREK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 106340)
Enumeration Date
2006-04-06
Last Update Date
2020-05-07
Business Address
DEANNA SUE MEDINA OTR/L
5955 ZEAMER AVE 673 MDOS/SGOY
JBER, AK 99506-3702
Phone number: 907-580-1530
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Mailing Address
DEANNA SUE MEDINA OTR/L
88 NDG/SGHJ 4881 SUGAR MAPLE DR
WRIGHT-PATTERSON AFB, OH 45433
Phone number: 937-257-8718
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