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1093845166
JERRY A PEREZ
WOODSIDE, NY
NPI
1093845166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 021185)
Enumeration Date
2007-03-06
Last Update Date
2011-09-14
Business Address
-- JERRY A PEREZ CCC-SLP
3962 64TH ST
WOODSIDE, NY 11377-3651
Phone number: 347-262-3626
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Mailing Address
-- JERRY A PEREZ CCC-SLP
PO BOX 770962
WOODSIDE, NY 11377-0962
Phone number:
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