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1770729329
JACQUELINE RAE SUTHERLAND
ANAMOSA, IA
NPI
1770729329
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IA 001793)
Enumeration Date
2009-01-05
Last Update Date
2010-05-19
Business Address
-- JACQUELINE RAE SUTHERLAND MA, CCC-SLP
118 E MAIN ST
ANAMOSA, IA 52205-1871
Phone number: 319-533-2916
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Mailing Address
-- JACQUELINE RAE SUTHERLAND MA, CCC-SLP
PO BOX 425
ANAMOSA, IA 52205-0425
Phone number: 319-533-2916
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