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1558806281
LISA FANNIN
NEWPORT NEWS, VA
NPI
1558806281
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: VA 2202003057)
Enumeration Date
2017-01-04
Last Update Date
2017-01-04
Business Address
LISA FANNIN MS, CCC-SLP
325 COLONY RD
NEWPORT NEWS, VA 23602-6342
Phone number: 757-877-3132
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Mailing Address
LISA FANNIN MS, CCC-SLP
325 COLONY RD
NEWPORT NEWS, VA 23602-6342
Phone number: 757-877-3132
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