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1760728539
SUSANNA TINGLE JETT
FREDERICKSBURG, VA
NPI
1760728539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 2202000858)
Enumeration Date
2012-12-22
Last Update Date
2012-12-22
Business Address
Mrs. SUSANNA TINGLE JETT
233 FERRY RD
FREDERICKSBURG, VA 22405-2807
Phone number: 540-371-3467
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Mailing Address
Mrs. SUSANNA TINGLE JETT
233 FERRY RD
FREDERICKSBURG, VA 22405-2807
Phone number: 540-371-3467
Copy
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