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1295188522
JESSICA LENA FANNING
EUGENE, OR
NPI
1295188522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 12325)
Enumeration Date
2016-07-21
Last Update Date
2016-07-21
Business Address
Dr. JESSICA LENA FANNING PhD, CCC-SLP
2222 TODD ST
EUGENE, OR 97405-1338
Phone number: 541-337-7086
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Mailing Address
Dr. JESSICA LENA FANNING PhD, CCC-SLP
2222 TODD ST
EUGENE, OR 97405-1338
Phone number: 541-337-7086
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