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1902503428
ANGELO ONTIVEROS
SACRAMENTO, CA
NPI
1902503428
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OH 003388)
Enumeration Date
2023-02-15
Last Update Date
2023-02-15
Business Address
Mr. ANGELO ONTIVEROS
1851 HERITAGE LN
SACRAMENTO, CA 95815-4926
Phone number: 510-337-7950
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Mailing Address
Mr. ANGELO ONTIVEROS
1080 MARINA VILLAGE PKWY STE 100
ALAMEDA, CA 94501-1078
Phone number: 510-337-7950
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