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1720389505
ELLEN K PARKER
LAKE FOREST, CA
NPI
1720389505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: CA 7039)
Enumeration Date
2010-11-09
Last Update Date
2010-11-09
Business Address
MRS. ELLEN K PARKER MSCCC
25021 MAMMOTH CIR
LAKE FOREST, CA 92630-2516
Phone number: 949-293-1860
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Mailing Address
MRS. ELLEN K PARKER MSCCC
25021 MAMMOTH CIR
LAKE FOREST, CA 92630-2516
Phone number: 949-293-1860
Copy
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