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1174706709
JILL DERUGA
ASTORIA, NY
NPI
1174706709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 013394-1)
Enumeration Date
2007-12-05
Last Update Date
2007-12-05
Business Address
-- JILL DERUGA
2534 STEINWAY ST
ASTORIA, NY 11103-3702
Phone number: 718-777-5243
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Mailing Address
-- JILL DERUGA
184 SADDLE LN
LEVITTOWN, NY 11756-2510
Phone number: 718-225-5937
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