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1083158703
SHANE WEST
BRONX, NY
NPI
1083158703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 026547)
Enumeration Date
2016-12-14
Last Update Date
2017-03-23
Business Address
Mr. SHANE WEST
360 E 145TH ST
BRONX, NY 10454-1078
Phone number: 718-292-2211
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Mailing Address
Mr. SHANE WEST
360 E 145TH ST
BRONX, NY 10454-1078
Phone number:
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