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1285177691
MATTIE BROKAW
TUCSON, AZ
NPI
1285177691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ TSLP10066)
Enumeration Date
2016-12-02
Last Update Date
2016-12-02
Business Address
-- MATTIE BROKAW
1010 E 10TH ST
TUCSON, AZ 85719-5813
Phone number: 317-695-2610
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Mailing Address
-- MATTIE BROKAW
3750 E VIA PALOMITA APT 30204
TUCSON, AZ 85718-3363
Phone number: 317-695-2610
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