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1972647451
IDA RUTH WICKIZER
TUCSON, AZ
NPI
1972647451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ 23500000X)
Enumeration Date
2007-02-16
Last Update Date
2007-07-08
Business Address
Mrs. IDA RUTH WICKIZER
1010 E 10TH ST
TUCSON, AZ 85719-5813
Phone number: 520-225-3300
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Mailing Address
Mrs. IDA RUTH WICKIZER
8907 N VERIDIAN DR
TUCSON, AZ 85743-9086
Phone number: 520-572-1416
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