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1164174694
BLOSSOM SPEECH AND LANGUAGE THERAPY
MODESTO, CA
NPI
1164174694
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Entity Type
Organization
Authorized Contact
MARYLYN LUCAS
Owner
209-404-0333
Organization Subpart ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2022-01-26
Last Update Date
2022-01-26
Business Address
BLOSSOM SPEECH AND LANGUAGE THERAPY
1101 STANDIFORD AVE STE A2
MODESTO, CA 95350-0981
Phone number: 209-404-0333
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Mailing Address
BLOSSOM SPEECH AND LANGUAGE THERAPY
5819 CHENAULT DR
MODESTO, CA 95356-9621
Phone number: 209-404-0333
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