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Individual
VANDER FIELDS
Active
Individual
VANDER FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005152A
IN
235Z00000X
Speech-Language Pathologist
3844
KY
235Z00000X
Speech-Language Pathologist
SP.9169
OH
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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