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Individual
IRENE PRINGSULAKA
Active
Individual
IRENE PRINGSULAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
14237
CA
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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