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1255113155
ETHAN RICHTSMEIER
ORANGE, CA
NPI
1255113155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: 28097)
Enumeration Date
2023-10-17
Last Update Date
2023-10-17
Business Address
ETHAN RICHTSMEIER
456 N FERN ST
ORANGE, CA 92867-7809
Phone number: 949-212-4918
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Mailing Address
ETHAN RICHTSMEIER
456 N FERN ST
ORANGE, CA 92867-7809
Phone number:
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