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1184906539
VIRGINIA M. TATE
LAKE HAVASU CITY, AZ
NPI
1184906539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ SLP7392)
Enumeration Date
2011-09-12
Last Update Date
2011-09-12
Business Address
-- VIRGINIA M. TATE
2200 HAVASUPAI BLVD
LAKE HAVASU CITY, AZ 86403-3122
Phone number: 928-505-6938
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Mailing Address
-- VIRGINIA M. TATE
777 HARRAH WAY APT 334
LAKE HAVASU CITY, AZ 86403-0820
Phone number:
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