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1912114729
FREDERICK HALL
PHOENIX, AZ
NPI
1912114729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ SLP4489)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- FREDERICK HALL
1617 S 67TH AVE
PHOENIX, AZ 85043-7717
Phone number: 623-707-2251
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Mailing Address
-- FREDERICK HALL
13609 W CARIBBEAN LN
SURPRISE, AZ 85379-8329
Phone number: 623-584-2794
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