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1700370772
REBECCA LARUSSA
ROSEVILLE, CA
NPI
1700370772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ 11267)
Enumeration Date
2018-06-21
Last Update Date
2018-06-21
Business Address
REBECCA LARUSSA M.S., CCC-SLP
532 GIBSON DR STE 100
ROSEVILLE, CA 95678-5878
Phone number: 866-564-3589
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Mailing Address
REBECCA LARUSSA M.S., CCC-SLP
121 SWINICK DR
DUNMORE, PA 18512-2078
Phone number: 570-687-5485
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