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1508207143
TRICIA PENA
LONG BEACH, CA
NPI
1508207143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 20540)
Enumeration Date
2013-07-11
Last Update Date
2013-07-11
Business Address
-- TRICIA PENA SLP
330 GOLDEN SHR
LONG BEACH, CA 90802-4246
Phone number: 866-414-0448
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Mailing Address
-- TRICIA PENA SLP
4659 W 135TH ST
HAWTHORNE, CA 90250-5727
Phone number:
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