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1174836282
STEPHANIE JACOB
PHOENIX, AZ
NPI
1174836282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ TSLP6659)
Enumeration Date
2010-07-17
Last Update Date
2020-04-10
Business Address
STEPHANIE JACOB
4045 E UNION HILLS DR STE 110
PHOENIX, AZ 85050-3389
Phone number: 602-485-4444
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Mailing Address
STEPHANIE JACOB
7631 W MCRAE WAY
GLENDALE, AZ 85308-5947
Phone number: 602-769-9263
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