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1487261350
MIA K. D. WARDELL
OAKLAND, CA
NPI
1487261350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 14935)
Enumeration Date
2020-09-25
Last Update Date
2020-09-25
Business Address
MIA K. D. WARDELL
4400 KELLER AVE STE 200
OAKLAND, CA 94605-4229
Phone number: 510-639-2929
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Mailing Address
MIA K. D. WARDELL
1142 CALBORO DR
SAN JOSE, CA 95117-2916
Phone number: 408-891-2660
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