JACK D. AVERY

MINNEAPOLIS, MN
NPI1306930086
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MN  5938)
Enumeration Date2006-10-03
Last Update Date2007-07-08
Business Address
-- JACK D. AVERY CCC/SLP
MINNEAPOLIS VAMC 1 VETERANS DRIVE
MINNEAPOLIS, MN 55417
Phone number: 612-467-5289
Mailing Address
-- JACK D. AVERY CCC/SLP
MINNEAPOLIS VAMC 1 VETERANS DRIVE
MINNEAPOLIS, MN 55417
Phone number: 612-467-5289
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