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1316420938
CONSUELO REYES HEREDIA
GARDEN GROVE, CA
NPI
1316420938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA SP26719)
Enumeration Date
2018-09-10
Last Update Date
2018-09-10
Business Address
CONSUELO REYES HEREDIA
12062 VALLEY VIEW ST STE 137
GARDEN GROVE, CA 92845-1741
Phone number: 714-901-1518
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Mailing Address
CONSUELO REYES HEREDIA
12062 VALLEY VIEW ST STE 137
GARDEN GROVE, CA 92845-1741
Phone number: 714-901-1518
Copy
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