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1346532538
BRIDGET LANE
JERSEY CITY, NJ
NPI
1346532538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NJ 41YS00650100)
Enumeration Date
2011-05-06
Last Update Date
2011-05-06
Business Address
-- BRIDGET LANE
45 RIVER DR SO. APT. 2109
JERSEY CITY, NJ 07310
Phone number: 201-386-0949
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Mailing Address
-- BRIDGET LANE
45 RIVER DR S APT 2109
JERSEY CITY, NJ 07310-3725
Phone number:
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