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1386860120
JAIME GAYLE FESUK
PRESCOTT, AZ
NPI
1386860120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ SLPL4197)
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
Mrs. JAIME GAYLE FESUK
146 S GRANITE ST
PRESCOTT, AZ 86303-4710
Phone number: 928-445-5400
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Mailing Address
Mrs. JAIME GAYLE FESUK
1998 PRESCOTT LAKES PARKWAY #141
PRESCOTT, AZ 86301-7825
Phone number: 928-830-0052
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