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Individual

KENDALL BLAIR CHURCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 W ELLIOT RD, TEMPE, AZ 85284-1310
(480) 374-4341
Mailing address
9339 W DONALD DR, PEORIA, AZ 85383-2987

Taxonomy

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

Other

Enumeration date
07/08/2019
Last updated
07/08/2019
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