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1043524796
JESSICA R MARDIS
TULSA, OK
NPI
1043524796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: OK 3379)
Enumeration Date
2010-08-04
Last Update Date
2010-08-04
Business Address
MRS. JESSICA R MARDIS M.S., CCC-SLP
5744 E 63RD PL
TULSA, OK 74136-2715
Phone number: 918-640-8221
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Mailing Address
MRS. JESSICA R MARDIS M.S., CCC-SLP
5744 E 63RD PL
TULSA, OK 74136-2715
Phone number: 918-640-8221
Copy
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