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1114171212
PHYLLIS MARAN
BAYSIDE, NY
NPI
1114171212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 002205-1)
Enumeration Date
2008-11-17
Last Update Date
2008-11-17
Business Address
Ms. PHYLLIS MARAN
21165 23RD AVE APT. 6H
BAYSIDE, NY 11360-1947
Phone number: 718-279-0904
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Mailing Address
Ms. PHYLLIS MARAN
21165 23RD AVE APT. 6H
BAYSIDE, NY 11360-1947
Phone number: 718-279-0904
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