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Individual

IRLA JASMINE AGUILAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5001 W DOBBINS RD, LAVEEN, AZ 85339-9733
(602) 237-9100
Mailing address
2014 N 39TH AVE, PHOENIX, AZ 85009-2146
(928) 817-2474

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12871
AZ
235Z00000X
Speech-Language Pathologist
Primary
TSLP16887
AZ

Other

Enumeration date
05/09/2024
Last updated
04/06/2026
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