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1093137101
MARISSA CACCAVALE
BUENA PARK, CA
NPI
1093137101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA RPE8612)
Enumeration Date
2014-01-08
Last Update Date
2014-01-08
Business Address
-- MARISSA CACCAVALE
8699 HOLDER ST
BUENA PARK, CA 90620-3614
Phone number: 714-821-3620
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Mailing Address
-- MARISSA CACCAVALE
8699 HOLDER ST
BUENA PARK, CA 90620-3614
Phone number: 714-821-3620
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