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1295208296
JENNIFER BARRETT MODUGNO
SYRACUSE, NY
NPI
1295208296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: NY 1280083181)
Enumeration Date
2019-01-02
Last Update Date
2019-01-02
Business Address
JENNIFER BARRETT MODUGNO
1045 JAMES ST
SYRACUSE, NY 13203-2730
Phone number: 315-425-1004
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Mailing Address
JENNIFER BARRETT MODUGNO
1045 JAMES ST
SYRACUSE, NY 13203-2730
Phone number: 315-425-1004
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