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1174238679
JACQUELINE PORTNOY
JACKSON, NJ
NPI
1174238679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
Enumeration Date
2023-01-18
Last Update Date
2023-01-18
Business Address
JACQUELINE PORTNOY
14 AIDAN LN
JACKSON, NJ 08527-3786
Phone number: 917-991-9590
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Mailing Address
JACQUELINE PORTNOY
20 WOODMERE CT
FREEHOLD, NJ 07728-4016
Phone number: 732-675-1465
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