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Individual

ANGELEENA KEPHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
500 W CENTRAL AVE, SUITE B, BREA, CA 92821-3027
(714) 323-4216
Mailing address
242 NAPOLI DR, BREA, CA 92821-4024
(714) 323-4216

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14864
CA

Other

Enumeration date
09/05/2016
Last updated
09/05/2016
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