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1326684473
GINA MARIE COSTI-WONG
LA JOLLA, CA
NPI
1326684473
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: CA 24717)
Enumeration Date
2019-11-25
Last Update Date
2020-02-05
Business Address
MS. GINA MARIE COSTI-WONG MS, CCC-SLP
9888 GENESEE AVE
LA JOLLA, CA 92037-1205
Phone number: 858-626-4444
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Mailing Address
MS. GINA MARIE COSTI-WONG MS, CCC-SLP
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 92127-5705
Phone number: 858-626-4447
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