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Individual

MAYRA PACHECO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9419 W VAN BUREN ST, TOLLESON, AZ 85353-2804
(623) 302-1499
Mailing address
8444 W WHYMAN AVE, TOLLESON, AZ 85353-8722
(623) 302-1499

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP13802
AZ

Other

Enumeration date
07/26/2022
Last updated
07/26/2022
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