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1215384128
KEVIN CHARLES MAHONEY
CHULA VISTA, CA
NPI
1215384128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 23678)
Enumeration Date
2016-05-20
Last Update Date
2016-05-20
Business Address
-- KEVIN CHARLES MAHONEY slp
861 HAROLD PL #205
CHULA VISTA, CA 91914-4553
Phone number: 619-578-2232
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Mailing Address
-- KEVIN CHARLES MAHONEY slp
2631 A ST SUITE 1
SAN DIEGO, CA 92102-2124
Phone number: 646-637-7872
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