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Individual

JILL PAULETTE HURT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1010 E 10TH ST, TUCSON, AZ 85719-5813
(520) 225-6610
Mailing address
1010 E. TENTH STREET, EXCEPTIONAL EDUCATION, TUCSON, AZ 85719
(520) 225-6610

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP5249
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
162001
AZ
Enumeration date
02/13/2007
Last updated
11/28/2011
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