TRACE JAHNER

SURPRISE, AZ
NPI1508291873
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: AZ  TSLP11455)
Enumeration Date2013-09-05
Last Update Date2018-11-05
Business Address
Mr. TRACE JAHNER M.S., CF-SLP
26934 N 178TH AVE
SURPRISE, AZ 85387-1075
Phone number: 623-980-4164
Mailing 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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