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CRYSTAL ELEANOR-BODMER KULD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1065 BUCKS LAKE RD, QUINCY, CA 95971-9507
(530) 283-2121
Mailing address
PO BOX 1222, QUINCY, CA 95971-1222
(562) 896-2574

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
26963
CA

Other

Enumeration date
08/05/2024
Last updated
08/05/2024
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