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1780200204
AVALON SCOPELLITE
OCEANSIDE, CA
NPI
1780200204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 26900)
Enumeration Date
2020-06-20
Last Update Date
2023-11-27
Business Address
AVALON SCOPELLITE M.A. CCC-SLP
4002 VISTA WAY
OCEANSIDE, CA 92056-4506
Phone number: 760-940-7151
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Mailing Address
AVALON SCOPELLITE M.A. CCC-SLP
11998 STONEY PEAK DR APT 812
SAN DIEGO, CA 92128-6473
Phone number: 949-310-4002
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