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1992006258
LYDIA MARIA COOLIDGE
SAN JOSE, CA
NPI
1992006258
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Former Name
LYDIA MARIA RUSSELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 6664)
Enumeration Date
2010-11-03
Last Update Date
2010-11-03
Business Address
Mrs. LYDIA MARIA COOLIDGE M.S.
4155 MOORPARK AVE
SAN JOSE, CA 95117-1714
Phone number: 888-996-9886
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Mailing Address
Mrs. LYDIA MARIA COOLIDGE M.S.
866 W IOWA AVE
SUNNYVALE, CA 94086-7568
Phone number: 925-787-2316
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