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1801653001
JACOB JONAH LASCANO
SAN DIEGO, CA
NPI
1801653001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 14344069)
Enumeration Date
2024-03-04
Last Update Date
2024-03-04
Business Address
JACOB JONAH LASCANO M.S., CCC-SLP
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 833-574-2273
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Mailing Address
JACOB JONAH LASCANO M.S., CCC-SLP
3200 PASEO VILLAGE WAY APT 1715
SAN DIEGO, CA 92130-3248
Phone number: 347-684-8759
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