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1710050786
ELAINE BONTJE QUINN
LAKE HAVASU CITY, AZ
NPI
1710050786
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Former Name
ELAINE MARIE BONTJE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ SLPL1715)
Enumeration Date
2006-11-16
Last Update Date
2007-07-08
Business Address
Mrs. ELAINE BONTJE QUINN MA
2200 HAVASUPAI BLVD
LAKE HAVASU CITY, AZ 86403-3798
Phone number: 928-505-6911
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Mailing Address
Mrs. ELAINE BONTJE QUINN MA
2200 HAVASUPAI BLVD
LAKE HAVASU CITY, AZ 86403-3798
Phone number: 928-505-6911
Copy
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