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1871912196
JAIME DESTEFANO
CHARLOTTE, NC
NPI
1871912196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 9148)
Enumeration Date
2014-04-15
Last Update Date
2023-08-02
Business Address
JAIME DESTEFANO OTR/L
16820 MACANTHRA DR
CHARLOTTE, NC 28213-4879
Phone number: 612-987-0375
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Mailing Address
JAIME DESTEFANO OTR/L
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number:
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