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1578003414
SHAYNA FOGLESONG
GLENDALE, AZ
NPI
1578003414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: AZ SLPA10484)
Enumeration Date
2017-02-25
Last Update Date
2017-02-25
Business Address
-- SHAYNA FOGLESONG
6002 W MONTE CRISTO AVE
GLENDALE, AZ 85306-2313
Phone number: 602-677-2669
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Mailing Address
-- SHAYNA FOGLESONG
6002 W MONTE CRISTO AVE
GLENDALE, AZ 85306-2313
Phone number: 602-677-2669
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