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1245647270
SUSAN LEIDY
PETALUMA, CA
NPI
1245647270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 60206507)
Enumeration Date
2014-07-22
Last Update Date
2014-07-22
Business Address
-- SUSAN LEIDY
3478 BODEGA AVE
PETALUMA, CA 94952-1604
Phone number: 707-778-8682
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Mailing Address
-- SUSAN LEIDY
365 KUCK LN
PETALUMA, CA 94952-9606
Phone number: 707-795-6954
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