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1760992127
KIRSTEN LYSETTE VAN KALLEN
CINCINNATI, OH
NPI
1760992127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OH SP-12822)
Enumeration Date
2017-10-11
Last Update Date
2017-10-11
Business Address
KIRSTEN LYSETTE VAN KALLEN
2651 BURNET AVE
CINCINNATI, OH 45219-2551
Phone number: 323-541-5814
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Mailing Address
KIRSTEN LYSETTE VAN KALLEN
5549 REGIMENTAL PL
CINCINNATI, OH 45239-6718
Phone number: 323-541-5814
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