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1902372659
JEMELIE J KODA
SAN DIEGO, CA
NPI
1902372659
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 26791)
Enumeration Date
2018-10-21
Last Update Date
2018-10-21
Business Address
JEMELIE J KODA CCC-SLP
1201 34TH ST
SAN DIEGO, CA 92102-2416
Phone number: 294-661-9232
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Mailing Address
JEMELIE J KODA CCC-SLP
2812 DEERPARK DR
SAN DIEGO, CA 92110-1019
Phone number: 617-233-2113
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