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1699227256
PHAEDRA CRISMAN
MANAKIN SABOT, VA
NPI
1699227256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 2202005546)
Enumeration Date
2016-10-31
Last Update Date
2016-10-31
Business Address
-- PHAEDRA CRISMAN SLP
44 BROAD STREET RD ROUTE 250
MANAKIN SABOT, VA 23103-2213
Phone number: 804-784-7090
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Mailing Address
-- PHAEDRA CRISMAN SLP
655 NORTHERN BLVD
SOUTH ABINGTON TOWNSHIP, PA 18411-8740
Phone number: 570-842-9323
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