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1952522344
BETTY DETHOMASIS
AVONDALE, AZ
NPI
1952522344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: AZ SLP5169)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
BETTY DETHOMASIS
12479 W PALM LN
AVONDALE, AZ 85323-6400
Phone number: 914-490-7728
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Mailing Address
BETTY DETHOMASIS
12479 W PALM LN
AVONDALE, AZ 85323-6400
Phone number: 914-490-7728
Copy
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