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1437482163
JESSICA FANNING
BRADENTON, FL
NPI
1437482163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA10996)
Enumeration Date
2009-09-14
Last Update Date
2018-01-26
Business Address
Ms. JESSICA FANNING
3823 E STATE ROAD 64
BRADENTON, FL 34208-9041
Phone number: 941-745-5111
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Mailing Address
Ms. JESSICA FANNING
3823 E STATE ROAD 64
BRADENTON, FL 34208-9041
Phone number: 941-745-5111
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