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1144816463
JENNIFER PORT
BAY SHORE, NY
NPI
1144816463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2020-12-21
Last Update Date
2024-09-03
Business Address
JENNIFER PORT
1428 5TH AVE
BAY SHORE, NY 11706-4153
Phone number: 631-665-1900
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Mailing Address
JENNIFER PORT
245 HERBERT AVE
LINDENHURST, NY 11757-5442
Phone number: 203-512-6569
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