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1932611126
SAMANTHA JO IWAMOTO
MARINA DEL REY, CA
NPI
1932611126
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 20309)
Enumeration Date
2017-10-29
Last Update Date
2017-10-29
Business Address
SAMANTHA JO IWAMOTO M.S., CCC-SLP
4215 GLENCOE AVE UNIT 419
MARINA DEL REY, CA 90292-4633
Phone number: 858-254-4709
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Mailing Address
SAMANTHA JO IWAMOTO M.S., CCC-SLP
4215 GLENCOE AVE UNIT 419
MARINA DEL REY, CA 90292-4633
Phone number: 858-254-4709
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