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1982039970
JESSICA GARDENIA VAJARAKITIPONGSE
CORONA, CA
NPI
1982039970
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Former Name
JESSICA GARDENIA ABAD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 11386)
Enumeration Date
2013-09-09
Last Update Date
2019-04-24
Business Address
JESSICA GARDENIA VAJARAKITIPONGSE OTR
2815 S MAIN ST STE 205
CORONA, CA 92882-2533
Phone number: 951-475-1307
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Mailing Address
JESSICA GARDENIA VAJARAKITIPONGSE OTR
747 LASSEN DR
CORONA, CA 92879-5980
Phone number: 951-751-8612
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