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Individual
MRS. DENISE BANDL
Active
Individual
MRS. DENISE BANDL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP, ATP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
874
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100656260A
—
OK
Enumeration date
07/17/2006
Last updated
04/07/2015
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