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1790090132
HEATHER ANN BALLIET
SURPRISE, AZ
NPI
1790090132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ TSLP6171)
Enumeration Date
2010-08-10
Last Update Date
2010-08-10
Business Address
-- HEATHER ANN BALLIET M.A.
15802 N PARKVIEW PL
SURPRISE, AZ 85374-7466
Phone number: 623-876-7022
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Mailing Address
-- HEATHER ANN BALLIET M.A.
11640 N TATUM BLVD UNIT 3036
PHOENIX, AZ 85028-1692
Phone number: 509-432-4429
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