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1194208884
BRIANNA PETERSON
SAN DIEGO, CA
NPI
1194208884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 22919)
Enumeration Date
2018-09-10
Last Update Date
2018-09-10
Business Address
BRIANNA PETERSON
9620 CHESAPEAKE DR STE 103
SAN DIEGO, CA 92123-1324
Phone number: 858-859-5369
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Mailing Address
BRIANNA PETERSON
2104 39TH ST
SAN DIEGO, CA 92105-5115
Phone number: 308-746-1267
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