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1861721813
LISA FERNANDO
SALT LAKE CITY, UT
NPI
1861721813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: WA LL60123974)
Enumeration Date
2009-12-21
Last Update Date
2009-12-21
Business Address
LISA FERNANDO
1952 E 7000 S
SALT LAKE CITY, UT 84121-6877
Phone number: 801-942-3311
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Mailing Address
LISA FERNANDO
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311
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