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1194415943
TERENCE ANTONIUS
SAN DIEGO, CA
NPI
1194415943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA SP8999)
Enumeration Date
2023-05-15
Last Update Date
2023-05-15
Business Address
TERENCE ANTONIUS SLP-CCC
2131 SHELTER ISLAND DR
SAN DIEGO, CA 92106-3106
Phone number: 949-280-7707
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Mailing Address
TERENCE ANTONIUS SLP-CCC
2907 SHELTER ISLAND DR # 105-534
SAN DIEGO, CA 92106-2743
Phone number: 949-280-7707
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