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1235395757
KELLY MARIE PETZING
FAIRPORT, NY
NPI
1235395757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 016484)
Enumeration Date
2008-08-04
Last Update Date
2008-08-04
Business Address
-- KELLY MARIE PETZING
149 N MAIN ST
FAIRPORT, NY 14450-1434
Phone number: 585-377-2230
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Mailing Address
-- KELLY MARIE PETZING
149 N MAIN ST
FAIRPORT, NY 14450-1434
Phone number: 585-377-2230
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