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1386162030
CANDACE RAELYNN BANKS
PEORIA, AZ
NPI
1386162030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ 5035807)
Enumeration Date
2017-09-01
Last Update Date
2017-09-01
Business Address
CANDACE RAELYNN BANKS M.A.
8361 N 95TH AVE
PEORIA, AZ 85345-7717
Phone number: 623-412-4825
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Mailing Address
CANDACE RAELYNN BANKS M.A.
4114 N 28TH ST APT 3042
PHOENIX, AZ 85016-5943
Phone number: 504-453-4174
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