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1184742173
LORE RAE YOUNG
SAN DIEGO, CA
NPI
1184742173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 4746)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
Ms. LORE RAE YOUNG MA, CCC,#4746
10992 SAN DIEGO MISSION RD
SAN DIEGO, CA 92108-2444
Phone number: 619-461-4663
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Mailing Address
Ms. LORE RAE YOUNG MA, CCC,#4746
3843 MURRAY HILL RD
LA MESA, CA 91941-7621
Phone number: 619-466-4308
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