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1194293415
TATIANA MARIE BALISTRERI
LYNN, MA
NPI
1194293415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: MA 1922174226)
Enumeration Date
2018-11-05
Last Update Date
2018-11-05
Business Address
TATIANA MARIE BALISTRERI
176 FRANKLIN ST
LYNN, MA 01904-3230
Phone number: 781-593-2727
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Mailing Address
TATIANA MARIE BALISTRERI
176 FRANKLIN ST
LYNN, MA 01904-3230
Phone number: 781-593-2727
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