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1003974775
DEBRA KAY MIKKELSEN
TEMPE, AZ
NPI
1003974775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ SLP0239)
Enumeration Date
2006-12-05
Last Update Date
2007-07-08
Business Address
Ms. DEBRA KAY MIKKELSEN MS CCC SLP
625 W CORNELL DR
TEMPE, AZ 85283
Phone number: 480-897-6233
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Mailing Address
Ms. DEBRA KAY MIKKELSEN MS CCC SLP
3115 S HARL AVE
TEMPE, AZ 85282
Phone number: 480-221-9502
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