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1104302595
LEANNA KATHERINE WILSON
FOUNTAIN HILLS, AZ
NPI
1104302595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ SLP11206)
Enumeration Date
2018-07-18
Last Update Date
2018-07-18
Business Address
Miss LEANNA KATHERINE WILSON
17100 E SHEA BLVD STE 600
FOUNTAIN HILLS, AZ 85268-6663
Phone number: 480-837-4565
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Mailing Address
Miss LEANNA KATHERINE WILSON
28000 N NORTH VALLEY PKWY APT 1030
PHOENIX, AZ 85085-5803
Phone number: 217-316-2035
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