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1104104538
LIDA SUAN ABRAHAM
DIAMOND BAR, CA
NPI
1104104538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 17413)
Enumeration Date
2011-08-03
Last Update Date
2011-08-03
Business Address
-- LIDA SUAN ABRAHAM Speech Pathologist
706 N DIAMOND BAR BLVD STE B
DIAMOND BAR, CA 91765-1059
Phone number: 909-396-8900
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Mailing Address
-- LIDA SUAN ABRAHAM Speech Pathologist
706 N DIAMOND BAR BLVD STE B
DIAMOND BAR, CA 91765-1059
Phone number: 909-396-8900
Copy
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