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Individual
MRS. PHYLLIS JEAN MAGELKY
Active
Individual
MRS. PHYLLIS JEAN MAGELKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
320
ND
235Z00000X
Speech-Language Pathologist
5882
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033438
PREFERRED ONE
MN
01
—
11674
BLUE CROSS BLUE SHIELD
ND
01
—
27397
BLUE CROSS BLUE SHIELD
ND
05
—
4043140-00
—
MN
05
—
58789
—
ND
01
—
5G158N-MA
BLUE CROSS/BLUE SHIELD
MN
Enumeration date
08/31/2006
Last updated
10/22/2009
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