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Individual

JACQUELINE NICOLE KINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9401 JERONIMO RD, IRVINE, CA 92618-1908
(714) 516-4598
Mailing address
12130 SPECTRUM, IRVINE, CA 92618-3403
(951) 818-4448

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/12/2021
Last updated
01/13/2021
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