| NPI Details | |
|---|---|
| NPI | 1023034659 |
| Gender | Female |
| Enumeration Date | 07/15/2006 |
| Last Updated | 03/21/2011 |
| Entity Type | Individual |
| Active | Over 10 years ago |
| Practice Location | |
|---|---|
| 3364 ANTIGUA LN UNIT 102 TAMPA FL, 33614-2240, US |
|
| Phone | (813) 915-1171 |
| Fax | (813) 932-6368 |
| Business Location | |
|---|---|
| 3364 ANTIGUA LN UNIT 102 TAMPA FL, 33614-2240, US |
|
| Phone | (813) 915-1171 |
| Fax | (813) 932-6368 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 235Z00000X |
| License State | Florida |
| License Number | SA7540 |
| Remove 1023034659 NPI Number | |
According to our database, Key Jacklyn Dubbeld M.S-SLP NPI is 1023034659, taxonomy code is 235Z00000X and license number is SA7540, license state is located at Florida. Key Jacklyn Dubbeld M.S-SLP physically located at 3364 Antigua Ln, Tampa FL, 33614-2240. NPI Number Key Jacklyn Dubbeld M.S-SLP has the Individual type.
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1023034659 NPI number is provided on an as is basis without warranty of any kind. 1023034659 is maintained by the National Plan & Provider Enumeration System. The contents of Key Jacklyn Dubbeld M.S-SLP are for informational purposes only.
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