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1912574559
MIRANDA CHURCH
QUEEN CREEK, AZ
NPI
1912574559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: AZ SLPA13078)
Enumeration Date
2021-06-10
Last Update Date
2021-06-10
Business Address
MIRANDA CHURCH SLPA
43507 N IRONWOOD DR
QUEEN CREEK, AZ 85140-9312
Phone number: 480-757-2253
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Mailing Address
MIRANDA CHURCH SLPA
42371 W OAKLAND DR
MARICOPA, AZ 85138-2229
Phone number: 207-343-1397
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