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1558917138
CARA E PENCAK
PHOENIX, AZ
NPI
1558917138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ TSLP12480)
Enumeration Date
2019-08-10
Last Update Date
2020-07-16
Business Address
CARA E PENCAK
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012-1839
Phone number: 602-277-5551
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Mailing Address
CARA E PENCAK
2976 E SANTA FE LN
GILBERT, AZ 85297-6026
Phone number: 480-319-5073
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