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1114045895
LISA ANN MCINTIRE
MESA, AZ
NPI
1114045895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ SLP0134)
Enumeration Date
2007-03-27
Last Update Date
2007-07-09
Business Address
-- LISA ANN MCINTIRE
1025 N COUNTRY CLUB DR
MESA, AZ 85201-3307
Phone number: 480-472-0727
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Mailing Address
-- LISA ANN MCINTIRE
825 W MEDINA AVE
MESA, AZ 85210-7144
Phone number: 480-472-4041
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