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1093243438
AMANDA JAIME FAZAKERLY
SACRAMENTO, CA
NPI
1093243438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 23667)
Enumeration Date
2017-05-30
Last Update Date
2018-12-10
Business Address
Mrs. AMANDA JAIME FAZAKERLY MS, CCC-SLP
2521 STOCKTON BLVD STE 6201
SACRAMENTO, CA 95817-2207
Phone number: 916-734-5400
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Mailing Address
Mrs. AMANDA JAIME FAZAKERLY MS, CCC-SLP
2521 STOCKTON BLVD STE 4300
SACRAMENTO, CA 95817-2207
Phone number:
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