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1871253989
DESTINEE BOHANNON
LOS ANGELES, CA
NPI
1871253989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
Enumeration Date
2021-12-30
Last Update Date
2021-12-30
Business Address
DESTINEE BOHANNON
1968 W ADAMS BLVD # 314
LOS ANGELES, CA 90018-3515
Phone number: 269-531-0553
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Mailing Address
DESTINEE BOHANNON
4255 7TH AVE
LOS ANGELES, CA 90008-4704
Phone number: 323-823-0517
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