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Individual

IRA N VERCELES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3355 HOLYOKE DR STE 100, LOS ANGELES, CA 90065-2718
(626) 321-5490
Mailing address
11315 CORPORATE BLVD, STE 100, ORLANDO, FL 32817-8344
(800) 774-7785

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
06/07/2011
Last updated
03/07/2023
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