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1336685528
KIRSTEN EIDENELSON
ENCINO, CA
NPI
1336685528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: CA 4039)
Enumeration Date
2017-01-11
Last Update Date
2017-01-11
Business Address
-- KIRSTEN EIDENELSON
16500 VENTURA BLVD STE 414
ENCINO, CA 91436-5050
Phone number: 951-662-0706
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Mailing Address
-- KIRSTEN EIDENELSON
11018 MIDDLEBOROUGH RD
RIVERSIDE, CA 92503-5800
Phone number: 951-662-0706
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