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1508464058
LAUREL NAKANISHI
SAN JOSE, CA
NPI
1508464058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA SP6622)
Enumeration Date
2020-10-15
Last Update Date
2020-10-15
Business Address
Ms. LAUREL NAKANISHI
6920 SANTA TERESA BLVD STE 101
SAN JOSE, CA 95119-1344
Phone number: 408-605-6280
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Mailing Address
Ms. LAUREL NAKANISHI
432 DANUBE DR
APTOS, CA 95003-2813
Phone number: 831-662-9255
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