JACKIE BUNGO

RAVENNA, OH
NPI1134520364
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OH  Sp6345)
Enumeration Date2014-09-08
Last Update Date2014-09-08
Business Address
-- JACKIE BUNGO MA/CCC-SLP
3590 STATE ROUTE 59
RAVENNA, OH 44266-1380
Phone number: 330-297-6708
Mailing Address
-- JACKIE BUNGO MA/CCC-SLP
3590 STATE ROUTE 59
RAVENNA, OH 44266-1380
Phone number: 330-297-6708
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