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1063864882
KRISTINA LAUREN KISHIMOTO
AUGUSTA, GA
NPI
1063864882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP008932)
Enumeration Date
2016-07-05
Last Update Date
2024-03-25
Business Address
KRISTINA LAUREN KISHIMOTO
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-2482
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Mailing Address
KRISTINA LAUREN KISHIMOTO
2012 KEW CT
GROVETOWN, GA 30813-5891
Phone number:
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