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1376777094
JACQUELINE RAE HARRIS
RIVERTON, WY
NPI
1376777094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WY 051)
Enumeration Date
2009-05-09
Last Update Date
2009-05-09
Business Address
-- JACQUELINE RAE HARRIS M.S., CCC-SLP
12441 HIGHWAY 26
RIVERTON, WY 82501-9256
Phone number: 307-857-4294
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Mailing Address
-- JACQUELINE RAE HARRIS M.S., CCC-SLP
12441 HIGHWAY 26
RIVERTON, WY 82501-9256
Phone number: 307-857-4294
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