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1124171020
NELLY TERESA ANTICH
LOS ANGELES, CA
NPI
1124171020
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Former Name
NELLY CANAR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 5790)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
Mrs. NELLY TERESA ANTICH
1401 S GRAND AVE
LOS ANGELES, CA 90015-3010
Phone number: 213-742-5568
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Mailing Address
Mrs. NELLY TERESA ANTICH
2307 VALLEY DR
HERMOSA BEACH, CA 90254-2650
Phone number: 310-376-7735
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