TRACY JANELLE GRAVANO

SALT LAKE CITY, UT
NPI1063647600
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  5593)
Enumeration Date2009-05-27
Last Update Date2009-05-27
Business Address
-- TRACY JANELLE GRAVANO
1952 E 7000 S STE 100
SALT LAKE CITY, UT 84121-6878
Phone number: 801-942-3311
Mailing Address
-- TRACY JANELLE GRAVANO
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311
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