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1356106538
SAMUEL SO
PEORIA, AZ
NPI
1356106538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ 1356106538)
Enumeration Date
2024-02-16
Last Update Date
2024-07-10
Business Address
SAMUEL SO
20470 N LAKE PLEASANT RD STE 107
PEORIA, AZ 85382-9708
Phone number: 623-248-3324
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Mailing Address
SAMUEL SO
7435 W TRAILS DR
GLENDALE, AZ 85308-9602
Phone number:
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