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1639312010
TINA CLUMPNER
KODIAK, AK
NPI
1639312010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AK SLP S 270)
Enumeration Date
2009-04-14
Last Update Date
2011-08-18
Business Address
-- TINA CLUMPNER M.S., CCC-SLP
104 CENTER AVE SUITE 200
KODIAK, AK 99615-6393
Phone number: 907-512-0979
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Mailing Address
-- TINA CLUMPNER M.S., CCC-SLP
PO BOX 568
KODIAK, AK 99615-0568
Phone number: 907-512-0979
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