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1720126428
LISA AMAVISCA
DAVIS, CA
NPI
1720126428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA RPE4222)
Enumeration Date
2007-02-02
Last Update Date
2007-07-08
Business Address
Ms. LISA AMAVISCA M.S.
750 F ST STE 2
DAVIS, CA 95616-3738
Phone number: 530-758-8944
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Mailing Address
Ms. LISA AMAVISCA M.S.
2955 LEONOR DR
SACRAMENTO, CA 95833-2801
Phone number: 916-359-2752
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