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1063191989
EMMA JEAN FANE
OAKLAND, CA
NPI
1063191989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 31003)
Enumeration Date
2023-07-17
Last Update Date
2023-07-17
Business Address
EMMA JEAN FANE MS, CCC-SLP
233 ORANGE ST APT 306
OAKLAND, CA 94610-4103
Phone number: 510-396-4595
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Mailing Address
EMMA JEAN FANE MS, CCC-SLP
233 ORANGE ST APT 306
OAKLAND, CA 94610-4103
Phone number: 510-396-4595
Copy
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