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1033958053
DAKOTA LYNN PENROD
FLAGSTAFF, AZ
NPI
1033958053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: AZ SLPA15196)
Enumeration Date
2024-05-20
Last Update Date
2024-05-20
Business Address
DAKOTA LYNN PENROD SLPA
2532 N 4TH ST # 481
FLAGSTAFF, AZ 86004-3712
Phone number: 928-226-1563
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Mailing Address
DAKOTA LYNN PENROD SLPA
801 W JORDAN RANCH RD
KINGMAN, AZ 86409-9262
Phone number: 928-530-4903
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