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1154623775
LILLIBETH E TAVAREZ
VALLEY STREAM, NY
NPI
1154623775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2010-12-02
Last Update Date
2010-12-02
Business Address
-- LILLIBETH E TAVAREZ
66 E DOVER ST
VALLEY STREAM, NY 11580-4106
Phone number: 516-509-0912
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Mailing Address
-- LILLIBETH E TAVAREZ
66 E DOVER ST
VALLEY STREAM, NY 11580-4106
Phone number: 516-509-0912
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