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1770926057
STACY RAVNIKAR
HUNTINGTON BEACH, CA
NPI
1770926057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 16588)
Enumeration Date
2013-04-16
Last Update Date
2013-04-16
Business Address
-- STACY RAVNIKAR
16052 BEACH BLVD STE 135
HUNTINGTON BEACH, CA 92647-3817
Phone number: 714-916-0641
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Mailing Address
-- STACY RAVNIKAR
3605 E ANAHEIM ST UNIT 103
LONG BEACH, CA 90804-6418
Phone number: 714-583-3891
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