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1821864075
JACOB RYAN DESLONGCHAMPS
DENVER, CO
NPI
1821864075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CO SLP.0005701)
Enumeration Date
2023-11-29
Last Update Date
2023-11-29
Business Address
JACOB RYAN DESLONGCHAMPS MS, CCC-SLP
1143 IVY ST
DENVER, CO 80220-4542
Phone number: 720-318-4615
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Mailing Address
JACOB RYAN DESLONGCHAMPS MS, CCC-SLP
1143 IVY ST
DENVER, CO 80220-4542
Phone number:
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