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1972116689
LARA REYES
VALLEJO, CA
NPI
1972116689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 15934)
Enumeration Date
2020-08-24
Last Update Date
2020-08-24
Business Address
Ms. LARA REYES SLP
612 DEL MAR AVE
VALLEJO, CA 94589-2605
Phone number: 707-556-8420
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Mailing Address
Ms. LARA REYES SLP
1300 SOUTHAMPTON RD APT 139
BENICIA, CA 94510-1743
Phone number: 707-400-7864
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