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1154419158
ROBERTA KRUSE
AUGUSTA, GA
NPI
1154419158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP006465)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
-- ROBERTA KRUSE MSP-CCC-SLP
2315 CENTRAL AVE STE C
AUGUSTA, GA 30904-6246
Phone number: 706-364-6172
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Mailing Address
-- ROBERTA KRUSE MSP-CCC-SLP
579 BAY HL
MARTINEZ, GA 30907-8993
Phone number: 706-869-8402
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