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1316246952
TRACEY LYN TYRA
ROCHESTER, NY
NPI
1316246952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 010252-1)
Enumeration Date
2011-03-22
Last Update Date
2011-03-22
Business Address
Miss TRACEY LYN TYRA CCC/SLP
301 SENECA AVE
ROCHESTER, NY 14621-1515
Phone number: 585-266-0331
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Mailing Address
Miss TRACEY LYN TYRA CCC/SLP
301 SENECA AVE
ROCHESTER, NY 14621-1515
Phone number: 585-266-0331
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