MICHAEL JEDLICKA

GRESHAM, OR
NPI1437456845
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OR  12708)
Enumeration Date2011-02-21
Last Update Date2011-02-21
Business Address
Mr. MICHAEL JEDLICKA SLP
532 N MAIN AVE
GRESHAM, OR 97030-7244
Phone number: 503-666-1333
Mailing Address
Mr. MICHAEL JEDLICKA SLP
532 N MAIN AVE
GRESHAM, OR 97030-7244
Phone number: 503-666-1333
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