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1235776071
SIVAN REVIVO
WOODLAND HILLS, CA
NPI
1235776071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 27586)
Enumeration Date
2019-11-27
Last Update Date
2019-11-27
Business Address
SIVAN REVIVO
19730 VENTURA BLVD STE 103B
WOODLAND HILLS, CA 91364-2693
Phone number: 818-884-5103
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Mailing Address
SIVAN REVIVO
6300 BEEMAN AVE
NORTH HOLLYWOOD, CA 91606-3123
Phone number: 818-572-7275
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