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1558589648
GARY WAYNE REAVIS
PELHAM, AL
NPI
1558589648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AL 1706)
Enumeration Date
2007-04-23
Last Update Date
2007-07-08
Business Address
Mr. GARY WAYNE REAVIS SLP-CCC
245 CAHABA VALLEY PKWY SUITE 200
PELHAM, AL 35124-2216
Phone number: 205-942-6820
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Mailing Address
Mr. GARY WAYNE REAVIS SLP-CCC
188 SAWMILL RD
HUNTSVILLE, AL 35811-8506
Phone number: 205-942-6820
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