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1144576935
KIMBERLY TAN
PASADENA, CA
NPI
1144576935
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA SP 12379)
Enumeration Date
2012-07-30
Last Update Date
2012-07-30
Business Address
-- KIMBERLY TAN M.A., CCC-SLP
2060 E VILLA ST
PASADENA, CA 91107-2340
Phone number: 626-795-8355
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Mailing Address
-- KIMBERLY TAN M.A., CCC-SLP
2060 E VILLA ST
PASADENA, CA 91107-2340
Phone number: 626-795-8355
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