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1194096792
MARY SMITH
OSWEGO, NY
NPI
1194096792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 003904-1)
Enumeration Date
2012-01-13
Last Update Date
2012-01-13
Business Address
-- MARY SMITH
116 E 10TH ST
OSWEGO, NY 13126-1622
Phone number: 315-343-9004
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Mailing Address
-- MARY SMITH
116 E 10TH ST
OSWEGO, NY 13126-1622
Phone number: 315-343-9004
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