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1801479506
KELLY DEEANN WANZER
RICHARDSON, TX
NPI
1801479506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 108534)
Enumeration Date
2021-04-30
Last Update Date
2021-04-30
Business Address
KELLY DEEANN WANZER
2012 PEBBLE BEACH CT
RICHARDSON, TX 75082-3218
Phone number: 469-241-9100
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Mailing Address
KELLY DEEANN WANZER
3601 MAPLESHADE LN
PLANO, TX 75075-5753
Phone number: 469-241-9100
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