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Individual
TERIANNE NANNA
Active
Individual
TERIANNE NANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
N500814867510
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SZ5714
PROVISIONAL SPEECH-LANGUAGE PATHOLOGIST
FL
Enumeration date
12/12/2011
Last updated
02/13/2012
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