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1982624714
BRIAN WISHERD
SANFORD, FL
NPI
1982624714
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA5430)
Enumeration Date
2006-07-21
Last Update Date
2007-07-08
Business Address
-- BRIAN WISHERD MA, CCC-SLP
138 LAKE ADA CIR
SANFORD, FL 32773-5659
Phone number: 407-328-5336
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Mailing Address
-- BRIAN WISHERD MA, CCC-SLP
138 LAKE ADA CIR
SANFORD, FL 32773-5659
Phone number: 407-328-5336
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