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1942477997
BOGUSLAWA TERESA SYROTIAK
IRVINE, CA
NPI
1942477997
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Former Name
BOGUSLAWA TERESA KELLOGG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 9987)
Enumeration Date
2008-05-09
Last Update Date
2008-05-09
Business Address
Miss BOGUSLAWA TERESA SYROTIAK
16257 LAGUNA CANYON ROAD SUITE 150
IRVINE, CA 92618
Phone number: 949-727-2192
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Mailing Address
Miss BOGUSLAWA TERESA SYROTIAK
21802 MICHIGAN LANE
LAKE FOREST, CA 92630
Phone number: 626-831-8182
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