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1902036551
SHITAL R PRASAD
JACKSON, TN
NPI
1902036551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TN SP0000002866)
Enumeration Date
2009-07-16
Last Update Date
2009-07-16
Business Address
-- SHITAL R PRASAD ms.ccc.slp
121 PHYSICIANS DR
JACKSON, TN 38305-6011
Phone number: 731-664-5050
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Mailing Address
-- SHITAL R PRASAD ms.ccc.slp
4 RACHEL DR APT 3
JACKSON, TN 38305-8623
Phone number: 731-660-3471
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