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1417491473
JILL EVENSEN
IRVINE, CA
NPI
1417491473
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 10386)
Enumeration Date
2016-12-10
Last Update Date
2023-11-07
Business Address
JILL EVENSEN M.S., SLP
30 PARMA
IRVINE, CA 92602-1657
Phone number: 714-475-3820
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Mailing Address
JILL EVENSEN M.S., SLP
360 E 1ST ST # 4237
TUSTIN, CA 92780-3211
Phone number: 714-475-3820
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