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1407110836
JAYNE R MCMANIGAL
PRESCOTT, AZ
NPI
1407110836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ SLPL5761)
Enumeration Date
2012-06-29
Last Update Date
2012-06-29
Business Address
-- JAYNE R MCMANIGAL
2900 W CRESTVIEW DR
PRESCOTT, AZ 86305-7007
Phone number: 928-420-6971
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Mailing Address
-- JAYNE R MCMANIGAL
2900 W CRESTVIEW DR
PRESCOTT, AZ 86305-7007
Phone number: 928-420-6971
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