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1669132213
MIMI PARK
MENLO PARK, CA
NPI
1669132213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: CA 19011)
Enumeration Date
2021-12-22
Last Update Date
2021-12-22
Business Address
MIMI PARK MS, CCC-SLP
648 MENLO AVE STE 8
MENLO PARK, CA 94025-4713
Phone number: 650-714-9459
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Mailing Address
MIMI PARK MS, CCC-SLP
648 MENLO AVE STE 8
MENLO PARK, CA 94025-4713
Phone number: 650-714-9459
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