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1164694147
VANESSA YVONNE BOOMER
SPRINGDALE, AR
NPI
1164694147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AR SP2260)
Enumeration Date
2008-03-30
Last Update Date
2008-03-30
Business Address
Mrs. VANESSA YVONNE BOOMER CCC-SLP
420 N WEST END ST
SPRINGDALE, AR 72764-3002
Phone number: 479-750-8859
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Mailing Address
Mrs. VANESSA YVONNE BOOMER CCC-SLP
727 ALMOO ST
LOWELL, AR 72745-9545
Phone number:
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