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1225313679
SUSAN YVONNE PETERSON
VENTURA, CA
NPI
1225313679
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Former Name
SUSAN YVONNE BAKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 8474)
Enumeration Date
2011-10-18
Last Update Date
2011-10-18
Business Address
Mrs. SUSAN YVONNE PETERSON
10730 HENDERSON RD
VENTURA, CA 93004-1832
Phone number: 805-647-1141
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Mailing Address
Mrs. SUSAN YVONNE PETERSON
3031 CAMINO CALANDRIA
THOUSAND OAKS, CA 91360-4534
Phone number: 805-493-2229
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