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1407241789
RAENISE SAMPSON
COLORADO SPRINGS, CO
NPI
1407241789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CO 0001945)
Enumeration Date
2015-04-02
Last Update Date
2016-03-17
Business Address
-- RAENISE SAMPSON MA-CCC, SLP
411 LAKEWOOD CIR B 119
COLORADO SPRINGS, CO 80910-2617
Phone number: 719-332-4689
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Mailing Address
-- RAENISE SAMPSON MA-CCC, SLP
411 LAKEWOOD CIR STE A104
COLORADO SPRINGS, CO 80910-2667
Phone number:
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