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1104100080
MICHELLE LORRAINE SLADEK
TEMPE, AZ
NPI
1104100080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AZ 0764)
Enumeration Date
2011-10-10
Last Update Date
2011-10-10
Business Address
-- MICHELLE LORRAINE SLADEK
1221 W WARNER RD SUITE 102
TEMPE, AZ 85284-1906
Phone number: 480-735-0124
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Mailing Address
-- MICHELLE LORRAINE SLADEK
646 N ELM ST
CHANDLER, AZ 85226-2738
Phone number: 480-577-8332
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