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1699918599
JILL FANNIN
CANTON, GA
NPI
1699918599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP006405)
Enumeration Date
2009-04-08
Last Update Date
2011-04-11
Business Address
-- JILL FANNIN M.Ed., CCC-SLP
212 RIVERSTONE DR
CANTON, GA 30114-5256
Phone number: 770-345-7796
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Mailing Address
-- JILL FANNIN M.Ed., CCC-SLP
212 RIVERSTONE DR
CANTON, GA 30114-5256
Phone number: 770-345-7796
Copy
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