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1619386679
JACQUELYN AUSTIN
ISANTI, MN
NPI
1619386679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MN 9331)
Enumeration Date
2014-08-04
Last Update Date
2018-07-31
Business Address
JACQUELYN AUSTIN MA CCC-SLP
904 6TH AVENUE CT NE
ISANTI, MN 55040
Phone number: 763-444-8700
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Mailing Address
JACQUELYN AUSTIN MA CCC-SLP
904 6TH AVENUE CT NE
ISANTI, MN 55040-3208
Phone number: 763-444-8700
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