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1083052104
SANDRA JARVIS
PORT ORANGE, FL
NPI
1083052104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146.005798)
Enumeration Date
2013-06-11
Last Update Date
2013-06-11
Business Address
-- SANDRA JARVIS
5535 S WILLIAMSON BLVD STE 774
PORT ORANGE, FL 32128-8311
Phone number: 800-330-7711
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Mailing Address
-- SANDRA JARVIS
402 N BEADLE DR
CARBONDALE, IL 62901-1070
Phone number:
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