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1528344181
CARON IVY MELLBLOM
PLACENTIA, CA
NPI
1528344181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 110093972)
Enumeration Date
2011-10-27
Last Update Date
2011-10-27
Business Address
-- CARON IVY MELLBLOM M.S.
928 FINNELL WAY
PLACENTIA, CA 92870-4445
Phone number: 714-402-8415
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Mailing Address
-- CARON IVY MELLBLOM M.S.
928 FINNELL WAY
PLACENTIA, CA 92870-4445
Phone number: 714-402-8415
Copy
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