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1114166832
WANDA DENISE BALLESTE
BRONX, NY
NPI
1114166832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 0162151)
Enumeration Date
2009-02-19
Last Update Date
2009-02-19
Business Address
Mrs. WANDA DENISE BALLESTE slp
667 E 233RD ST
BRONX, NY 10466-2867
Phone number: 917-299-8984
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Mailing Address
Mrs. WANDA DENISE BALLESTE slp
1609 GIVAN AVE
BRONX, NY 10469-2706
Phone number: 917-299-8984
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