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1801091590
ROBERT JAY KISSEL
IRVINE, CA
NPI
1801091590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 3619)
Enumeration Date
2007-06-20
Last Update Date
2007-07-08
Business Address
Mr. ROBERT JAY KISSEL M.A.CCCSLP
16 TECHNOLOGY DR STE 116
IRVINE, CA 92618-2326
Phone number: 949-462-9802
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Mailing Address
Mr. ROBERT JAY KISSEL M.A.CCCSLP
1101 W STEVENS AVE APT 147
SANTA ANA, CA 92707-5063
Phone number: 714-549-5045
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