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1740531177
JESSICA L TATUM
GLENDALE, AZ
NPI
1740531177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: AZ SLPA6944)
Enumeration Date
2012-09-25
Last Update Date
2012-09-25
Business Address
-- JESSICA L TATUM
4650 W SWEETWATER AVE
GLENDALE, AZ 85304-1505
Phone number: 602-347-2826
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Mailing Address
-- JESSICA L TATUM
4650 W SWEETWATER AVE
GLENDALE, AZ 85304-1505
Phone number: 602-347-2826
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