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1912635061
JENNIFER M BASTAIN
LONG BEACH, CA
NPI
1912635061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 5837)
Enumeration Date
2022-08-08
Last Update Date
2022-08-08
Business Address
Mrs. JENNIFER M BASTAIN OTR/L
460 MARGO AVE
LONG BEACH, CA 90803-2120
Phone number: 714-326-6551
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Mailing Address
Mrs. JENNIFER M BASTAIN OTR/L
460 MARGO AVE
LONG BEACH, CA 90803-2120
Phone number: 714-326-6551
Copy
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