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1508291873
TRACE JAHNER
SURPRISE, AZ
NPI
1508291873
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ TSLP11455)
Enumeration Date
2013-09-05
Last Update Date
2018-11-05
Business Address
Mr. TRACE JAHNER M.S., CF-SLP
26934 N 178TH AVE
SURPRISE, AZ 85387-1075
Phone number: 623-980-4164
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Mailing Address
Mr. TRACE JAHNER M.S., CF-SLP
26934 N 178TH AVE
SURPRISE, AZ 85387-1075
Phone number: 623-980-4164
Copy
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