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1821214743
MARK E KOHOUT
LA JOLLA, CA
NPI
1821214743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA SP8615)
Enumeration Date
2007-04-18
Last Update Date
2009-06-25
Business Address
-- MARK E KOHOUT CCC-SLP
10666 N TORREY PINES RD
LA JOLLA, CA 92037-1027
Phone number: 858-554-3074
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Mailing Address
-- MARK E KOHOUT CCC-SLP
FILE 54433
LOS ANGELES, CA 90074-0001
Phone number:
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