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1790019982
ANNE LAKE
MESA, AZ
NPI
1790019982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: AZ TSLP6281)
Enumeration Date
2009-09-22
Last Update Date
2023-02-16
Business Address
ANNE LAKE
9818 E NAVARRO AVE
MESA, AZ 85209-2518
Phone number: 480-808-0665
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Mailing Address
ANNE LAKE
9221 E BASELINE RD STE 109 #193
MESA, AZ 85209
Phone number: 480-808-0665
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