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1922580216
KRISTY CHAN
STOCKTON, CA
NPI
1922580216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA 3524)
Enumeration Date
2018-09-03
Last Update Date
2018-09-03
Business Address
KRISTY CHAN
442 E HAMPTON ST
STOCKTON, CA 95204-5519
Phone number: 209-466-0456
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Mailing Address
KRISTY CHAN
9317 MAPLEVIEW WAY
ELK GROVE, CA 95758-5010
Phone number:
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