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1275022873
BREEANN NICOLE POULSON
SAN DIEGO, CA
NPI
1275022873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 24456)
Enumeration Date
2018-05-09
Last Update Date
2018-05-09
Business Address
Ms. BREEANN NICOLE POULSON MS CCC-SLP
9466 BLACK MOUNTAIN RD SUITE 100,
SAN DIEGO, CA 92126
Phone number: 858-689-2027
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Mailing Address
Ms. BREEANN NICOLE POULSON MS CCC-SLP
9466 BLACK MOUNTAIN RD STE 100
SAN DIEGO, CA 92126-4550
Phone number:
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