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1275364101
MANDI JO BAXENDALE
POWELL, WY
NPI
1275364101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WY SP-1326)
Enumeration Date
2024-08-12
Last Update Date
2024-08-12
Business Address
MANDI JO BAXENDALE
PO BOX 1191
POWELL, WY 82435-1191
Phone number: 307-754-9829
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Mailing Address
MANDI JO BAXENDALE
PO BOX 1191
POWELL, WY 82435-1191
Phone number: 307-754-9829
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