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Individual
MRS. MANDI IZZELL ROYAL
Active
Individual
MRS. MANDI IZZELL ROYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8698
NC
Other
Enumeration date
09/29/2009
Last updated
04/06/2011
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