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Individual
STEPHANIE BOAYES OBUSAN
Active
Individual
STEPHANIE BOAYES OBUSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SPA 3418
CA
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/09/2016
Last updated
07/03/2019
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