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1528698057
ANYA KATZINA MANCILLAS
SAN DIEGO, CA
NPI
1528698057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 14305)
Enumeration Date
2020-01-23
Last Update Date
2020-01-23
Business Address
Miss ANYA KATZINA MANCILLAS
1809 NATIONAL AVE
SAN DIEGO, CA 92113-2113
Phone number: 619-515-2515
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Mailing Address
Miss ANYA KATZINA MANCILLAS
594 IVY CT
CHULA VISTA, CA 91911-2503
Phone number: 619-410-5628
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