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1144701939
ALYSSA CHRISTIE PANJAITAN
ONTARIO, CA
NPI
1144701939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 26296)
Enumeration Date
2018-08-28
Last Update Date
2018-08-28
Business Address
ALYSSA CHRISTIE PANJAITAN
1500 S HAVEN AVE
ONTARIO, CA 91761-2969
Phone number: 909-390-1313
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Mailing Address
ALYSSA CHRISTIE PANJAITAN
13703 CABRILLO CT
FONTANA, CA 92336-3406
Phone number: 909-648-4234
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