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Individual

AIMEE LARA BLANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4419 VAN NUYS BLVD, SUITE 412, SHERMAN OAKS, CA 91403
(818) 386-1231
Mailing address
5300 EDGEWARE DR, CALABASAS HILLS, CA 91301-2321

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5364
CA

Other

Enumeration date
08/15/2008
Last updated
08/15/2008
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