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1578321170
SAMANTHA R SANDOVAL
AVONDALE, AZ
NPI
1578321170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ SLP15544)
Enumeration Date
2024-03-08
Last Update Date
2024-11-07
Business Address
SAMANTHA R SANDOVAL
220 E. LA CANADA BLVD
AVONDALE, AZ 85323
Phone number: 623-772-4400
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Mailing Address
SAMANTHA R SANDOVAL
11200 W CAMELBACK RD UNIT 153
PHOENIX, AZ 85037-5089
Phone number: 626-469-9137
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