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1306465976
JILL DAVIDSON
LOS ANGELES, CA
NPI
1306465976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 14343)
Enumeration Date
2020-04-13
Last Update Date
2020-04-13
Business Address
Mrs. JILL DAVIDSON
12516 SANFORD ST
LOS ANGELES, CA 90066-6935
Phone number: 310-922-5638
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Mailing Address
Mrs. JILL DAVIDSON
12516 SANFORD ST
LOS ANGELES, CA 90066-6935
Phone number: 310-922-5638
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