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1891184545
TAMMY LARSON
MESA, AZ
NPI
1891184545
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ TSLP9228)
Enumeration Date
2015-01-19
Last Update Date
2015-01-19
Business Address
-- TAMMY LARSON
5358 E BASELINE RD
MESA, AZ 85206-4716
Phone number: 480-699-9624
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Mailing Address
-- TAMMY LARSON
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number:
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