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1508078304
JESSIE CLARKE
PHOENIX, AZ
NPI
1508078304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ SLP0936)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
-- JESSIE CLARKE
8523 WEST OSBORN ROAD
PHOENIX, AZ 85037
Phone number: 623-772-2430
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Mailing Address
-- JESSIE CLARKE
10114 S 186TH AVE
GOODYEAR, AZ 85338-4939
Phone number: 623-772-2430
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