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Individual

GERALYNN S KNORR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11103 FAIRBANKS WAY, CULVER CITY, CA 90230-4946
(310) 880-5504
Mailing address
11103 FAIRBANKS WAY, CULVER CITY, CA 90230-4946
(310) 880-5504

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5009
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ26078Z
BLUE SHIELD OF CA PIN
CA
Enumeration date
05/22/2007
Last updated
07/08/2007
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