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1427225291
JENNIE P EWALT
BROOMFIELD, CO
NPI
1427225291
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CO 12085674)
Enumeration Date
2008-05-12
Last Update Date
2018-07-20
Business Address
JENNIE P EWALT M.S., CCC-SLP
13182 MISTY CT
BROOMFIELD, CO 80020
Phone number: 303-503-5724
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Mailing Address
JENNIE P EWALT M.S., CCC-SLP
13182 MISTY CT
BROOMFIELD, CO 80020-5268
Phone number: 303-503-5724
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