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1194099838
SHALAINA NICOLE SAMPLE
PHILADELPHIA, PA
NPI
1194099838
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: SL010589)
Enumeration Date
2012-02-27
Last Update Date
2017-01-03
Business Address
Ms. SHALAINA NICOLE SAMPLE MS CCC-SLP
6130 N FRANKLIN ST
PHILADELPHIA, PA 19120-1335
Phone number: 267-879-2541
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Mailing Address
Ms. SHALAINA NICOLE SAMPLE MS CCC-SLP
6130 N FRANKLIN ST
PHILADELPHIA, PA 19120-1335
Phone number: 267-879-2541
Copy
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