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Individual

MRS. SALLY ANN TEODORO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MCD

Contact information

Practice address
13934 N 59TH AVE, GLENDALE, AZ 85306-4167
(602) 866-0147
Mailing address
7223 W WILLOW AVE, PEORIA, AZ 85381-6055
(623) 486-9567

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
720
AZ

Other

Enumeration date
06/22/2007
Last updated
07/08/2007
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