IRIS LEYRETANA SUMATRA

WESTERVILLE, OH
NPI1306983481
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OH  SP-8112)
Enumeration Date2007-01-30
Last Update Date2014-11-15
Business Address
-- IRIS LEYRETANA SUMATRA MA
900 CLUB DR
WESTERVILLE, OH 43081-4909
Phone number: 614-899-2838
Mailing Address
-- IRIS LEYRETANA SUMATRA MA
900 CLUB DR
WESTERVILLE, OH 43081-4909
Phone number: 614-899-2838
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