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1336674605
VIJITHA KOTHAKONDA
MILWAUKIE, OR
NPI
1336674605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: CA 18293)
Enumeration Date
2017-04-25
Last Update Date
2017-04-25
Business Address
VIJITHA KOTHAKONDA
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number: 925-689-7457
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Mailing Address
VIJITHA KOTHAKONDA
1945 LEHIGH DR
DAVIS, CA 95616-4007
Phone number:
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