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1467068403
ALEXANDRA RAE LERTOLA
SOUTH BEND, IN
NPI
1467068403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: IN 22007598A)
Enumeration Date
2020-09-16
Last Update Date
2020-09-16
Business Address
ALEXANDRA RAE LERTOLA M.S. CCC-SLP
53940 CARMICHAEL DR
SOUTH BEND, IN 46635-1564
Phone number: 574-335-6212
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Mailing Address
ALEXANDRA RAE LERTOLA M.S. CCC-SLP
53940 CARMICHAEL DR
SOUTH BEND, IN 46635-1564
Phone number: 574-335-6212
Copy
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