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1861622433
JANE PARK
MOORESVILLE, NC
NPI
1861622433
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NC 12133792)
Enumeration Date
2009-07-17
Last Update Date
2009-07-17
Business Address
-- JANE PARK CCC-SLP
550 GLENWOOD DR
MOORESVILLE, NC 28115-2876
Phone number: 704-664-7494
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Mailing Address
-- JANE PARK CCC-SLP
14711 PERIDOT CT
PINEVILLE, NC 28134-9369
Phone number:
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