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1942549258
TAMARA S WIRTZ
RAPID CITY, SD
NPI
1942549258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: SD 12128886)
Enumeration Date
2013-02-06
Last Update Date
2013-02-06
Business Address
-- TAMARA S WIRTZ CCC-SLP
7110 JORDAN DR
RAPID CITY, SD 57702-8738
Phone number: 605-791-7400
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Mailing Address
-- TAMARA S WIRTZ CCC-SLP
7110 JORDAN DR
RAPID CITY, SD 57702-8738
Phone number: 605-791-7400
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