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1790917326
SHANNON ELIZABETH DEDOMENICO
TAMPA, FL
NPI
1790917326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA7695)
Enumeration Date
2009-08-15
Last Update Date
2009-08-15
Business Address
-- SHANNON ELIZABETH DEDOMENICO MA, CCC-SLP
14305 DIPLOMAT DR
TAMPA, FL 33613-3123
Phone number: 813-264-1420
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Mailing Address
-- SHANNON ELIZABETH DEDOMENICO MA, CCC-SLP
14305 DIPLOMAT DR
TAMPA, FL 33613-3123
Phone number: 813-264-1420
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