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1215637988
JASON EDUARDO FERNANDES
EAST SETAUKET, NY
NPI
1215637988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 032596)
Enumeration Date
2023-03-09
Last Update Date
2023-03-09
Business Address
JASON EDUARDO FERNANDES
196 N BELLE MEAD RD STE 3
EAST SETAUKET, NY 11733-3477
Phone number: 631-525-7514
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Mailing Address
JASON EDUARDO FERNANDES
196 N BELLE MEAD RD STE 3
EAST SETAUKET, NY 11733-3477
Phone number: 631-525-7514
Copy
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