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1164071643
PATRICIA PEGUERO-VIDAL
FLUSHING, NY
NPI
1164071643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 029115)
Enumeration Date
2019-09-08
Last Update Date
2019-09-08
Business Address
PATRICIA PEGUERO-VIDAL MS, CCC-SLP, TSSLD-B
14439 GRAVETT RD
FLUSHING, NY 11367-1304
Phone number: 718-793-2130
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Mailing Address
PATRICIA PEGUERO-VIDAL MS, CCC-SLP, TSSLD-B
13832 68TH DR APT 3B
FLUSHING, NY 11367-1663
Phone number: 718-793-5476
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