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Individual

MRS. GINA LYNN BLEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP/L

Contact information

Practice address
4135 PENNSYLVAINA AVE, DUBUQUE, IA 52002
(563) 583-4003
(563) 583-4734
Mailing address
4135 PENNSYLVAINA AVE, DUBUQUE, IA 52002
(563) 583-4003
(563) 583-4734

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01448
IA
235Z00000X
Speech-Language Pathologist
IL

Other

Enumeration date
10/03/2006
Last updated
07/08/2007
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