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1083854608
KIMBERLY BOURKE
PLAINVIEW, NY
NPI
1083854608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 015891)
Enumeration Date
2009-02-22
Last Update Date
2009-02-22
Business Address
-- KIMBERLY BOURKE CCC-SLP
255 EXECUTIVE DR
PLAINVIEW, NY 11803-1718
Phone number: 516-576-2040
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Mailing Address
-- KIMBERLY BOURKE CCC-SLP
200 N 4TH ST
BETHPAGE, NY 11714-2004
Phone number: 516-935-2070
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