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Individual
LISA CAROL SANDOVAL
Active
Individual
LISA CAROL SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11463
CA
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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