Individual
JASON BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20402 N 15TH AVE, PHOENIX, AZ 85027-3636
(623) 445-4952
Mailing address
3121 W BAJADA DR, PHOENIX, AZ 85083-5822
(623) 505-6388
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL5724
AZ
Other
Enumeration date
11/24/2007
Last updated
11/24/2007
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