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1124500061
JAMIE ANNE PETERSON
EDEN, NY
NPI
1124500061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 027796-1)
Enumeration Date
2018-09-06
Last Update Date
2018-09-06
Business Address
JAMIE ANNE PETERSON CCC SLP
3000 SCHOOLVIEW RD
EDEN, NY 14057-1117
Phone number: 716-992-3638
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Mailing Address
JAMIE ANNE PETERSON CCC SLP
3150 SCHOOLVIEW RD
EDEN, NY 14057-1107
Phone number: 716-992-3645
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