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1194486126
JUSTINE BONILLA
COMMACK, NY
NPI
1194486126
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 031486)
Enumeration Date
2022-01-03
Last Update Date
2022-01-03
Business Address
JUSTINE BONILLA
14 EUSTACE DR
COMMACK, NY 11725-5331
Phone number: 631-901-4118
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Mailing Address
JUSTINE BONILLA
14 EUSTACE DR
COMMACK, NY 11725-5331
Phone number:
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