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1922419175
LISL CLERK
HAWTHORNE, CA
NPI
1922419175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 21166)
Enumeration Date
2014-05-09
Last Update Date
2014-05-09
Business Address
-- LISL CLERK
11840 S LA CIENEGA BLVD
HAWTHORNE, CA 90250-3459
Phone number: 424-269-3400
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Mailing Address
-- LISL CLERK
1440 S REDONDO BLVD APT 5
LOS ANGELES, CA 90019-4142
Phone number: 314-504-6342
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