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1386927762
EVANNA ELISE FERGUSON
MARICOPA, AZ
NPI
1386927762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2355S0801X Specialist/Technologist Speech-Language Assistant
(Licence: AZ SLPA7377)
Enumeration Date
2011-09-22
Last Update Date
2011-09-22
Business Address
EVANNA ELISE FERGUSON SLPA
44480 W HONEYCUTT AVE STE 106
MARICOPA, AZ 85138-2909
Phone number: 520-582-0142
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Mailing Address
EVANNA ELISE FERGUSON SLPA
44959 W ZION RD
MARICOPA, AZ 85139-9103
Phone number: 480-818-2193
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