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1629147004
VICKI CAROL MASTERSON
PENDLETON, IN
NPI
1629147004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 22003545A)
Enumeration Date
2006-11-07
Last Update Date
2007-07-08
Business Address
Ms. VICKI CAROL MASTERSON SLP
105 CANTERBURY RD
PENDLETON, IN 46064-8719
Phone number: 765-620-2068
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Mailing Address
Ms. VICKI CAROL MASTERSON SLP
105 CANTERBURY RD
PENDLETON, IN 46064-8719
Phone number: 765-620-2068
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