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1134833759
ROBERT LEE KNAPP JACKSON
PHOENIX, AZ
NPI
1134833759
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: AZ SLPA14215)
Enumeration Date
2023-01-09
Last Update Date
2023-01-09
Business Address
ROBERT LEE KNAPP JACKSON
11226 N 23RD AVE STE 101
PHOENIX, AZ 85029-4830
Phone number: 602-309-8821
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Mailing Address
ROBERT LEE KNAPP JACKSON
23634 N 58TH AVE
GLENDALE, AZ 85310-3647
Phone number: 602-309-8821
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