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1275120719
LYANN MARIE MAISONAVE
BRONX, NY
NPI
1275120719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2020-12-30
Last Update Date
2020-12-30
Business Address
LYANN MARIE MAISONAVE
2447 EASTCHESTER RD # 2
BRONX, NY 10469-5915
Phone number: 718-882-2111
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Mailing Address
LYANN MARIE MAISONAVE
7118 68TH PL
GLENDALE, NY 11385-7233
Phone number: 646-852-2520
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