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1205179785
DIANA VALE
PORT JEFF STA, NY
NPI
1205179785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2013-04-02
Last Update Date
2020-09-10
Business Address
DIANA VALE
299 HALLOCK AVE
PORT JEFF STA, NY 11776
Phone number: 631-473-4284
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Mailing Address
DIANA VALE
32 LOWER ROCKY POINT RD
ROCKY POINT, NY 11778-8782
Phone number:
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