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1548899776
TYANNA WADDELL
RALEIGH, NC
NPI
1548899776
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NC 2004012)
Enumeration Date
2020-04-08
Last Update Date
2020-04-08
Business Address
TYANNA WADDELL
2722 HIDDEN WATERS CIR
RALEIGH, NC 27614-8520
Phone number: 919-465-4424
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Mailing Address
TYANNA WADDELL
2722 HIDDEN WATERS CIR
RALEIGH, NC 27614-8520
Phone number: 919-465-4424
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