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1023330123
SHELLY BASHAM
ROANOKE, VA
NPI
1023330123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 2202003704)
Enumeration Date
2010-02-17
Last Update Date
2010-02-17
Business Address
-- SHELLY BASHAM M.S.,CCC-SLP
4515 BRAMBLETON AVE
ROANOKE, VA 24018-3436
Phone number: 540-961-1230
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Mailing Address
-- SHELLY BASHAM M.S.,CCC-SLP
4515 BRAMBLETON AVE
ROANOKE, VA 24018-3436
Phone number: 540-961-1230
Copy
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