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1487063459
COLLEEN BUCKLEY
AVONDALE, AZ
NPI
1487063459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ TSLP9005)
Enumeration Date
2014-08-04
Last Update Date
2014-08-04
Business Address
-- COLLEEN BUCKLEY
1600 S 107TH AVE
AVONDALE, AZ 85323-2209
Phone number: 313-505-3665
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Mailing Address
-- COLLEEN BUCKLEY
3800 N EL MIRAGE DR APT 5825
AVONDALE, AZ 85392-3843
Phone number: 313-505-3665
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