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1063687986
MAXINE A BASKERVILL
BUFFALO, NY
NPI
1063687986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 000168-1)
Enumeration Date
2008-04-23
Last Update Date
2008-04-23
Business Address
Mrs. MAXINE A BASKERVILL M.A.
50 E NORTH ST
BUFFALO, NY 14203-1002
Phone number: 716-885-8318
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Mailing Address
Mrs. MAXINE A BASKERVILL M.A.
50 E NORTH ST
BUFFALO, NY 14203-1002
Phone number: 716-885-8318
Copy
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