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1912088642
KERRIE KRUSE
PHOENIX, AZ
NPI
1912088642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ DOH #SLP2171)
Enumeration Date
2006-10-18
Last Update Date
2007-07-09
Business Address
-- KERRIE KRUSE
15002 N 32ND ST
PHOENIX, AZ 85032-4441
Phone number: 602-867-5223
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Mailing Address
-- KERRIE KRUSE
1952 E LUKE AVE
PHOENIX, AZ 85016-3014
Phone number:
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