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1912023193
KRISTINE KIKUYE TANITA
LOS ANGELES, CA
NPI
1912023193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: CA 1744)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
Mrs. KRISTINE KIKUYE TANITA OTR
4650 W SUNSET BLVD
LOS ANGELES, CA 90027-6062
Phone number: 323-669-2118
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Mailing Address
Mrs. KRISTINE KIKUYE TANITA OTR
2447 HIGHLAND AVE
ALTADENA, CA 91001-2550
Phone number: 323-669-2118
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