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1215635750
KENNETH JOHN INNOCENT
MOUNT VERNON, NY
NPI
1215635750
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 032730-01)
Enumeration Date
2023-02-22
Last Update Date
2023-02-22
Business Address
Mr. KENNETH JOHN INNOCENT
226 BROOKSIDE AVE
MOUNT VERNON, NY 10553-1804
Phone number: 646-581-0894
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Mailing Address
Mr. KENNETH JOHN INNOCENT
226 BROOKSIDE AVE
MOUNT VERNON, NY 10553-1804
Phone number: 646-581-0894
Copy
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