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1255773933
LAURA LYN FULLER
PHOENIX, AZ
NPI
1255773933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ slp8363)
Enumeration Date
2013-07-23
Last Update Date
2019-08-13
Business Address
LAURA LYN FULLER SLP
3012 N 17TH AVE
PHOENIX, AZ 85015-6112
Phone number: 480-824-8889
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Mailing Address
LAURA LYN FULLER SLP
3012 N 17TH AVE
PHOENIX, AZ 85015-6112
Phone number: 480-824-8889
Copy
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