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Organization
KOOLAU COMMUNICATION PROVISIONS LLC
Active
Organization
KOOLAU COMMUNICATION PROVISIONS LLC
Active
Other names
Ko'olau Communication Provisions LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE MONTANO CCC-SLP (OWNER)
(510) 579-7772
Entity
Organization
Contact information
Practice address
1111 MANULANI ST, KAILUA, HI 96734-3802
(510) 579-7772
Mailing address
1111 MANULANI ST, KAILUA, HI 96734-3802
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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