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1174090567
KELSEY KOGA
LONG BEACH, CA
NPI
1174090567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 22086)
Enumeration Date
2018-10-24
Last Update Date
2018-10-24
Business Address
KELSEY KOGA
3620 LONG BEACH BLVD
LONG BEACH, CA 90807-4022
Phone number: 562-595-0912
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Mailing Address
KELSEY KOGA
1484 VIA LATINA DR
CAMARILLO, CA 93012-9288
Phone number: 805-402-4642
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