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1376318253
PATRICIA DOUGLAS
PORT JEFFERSON STATION, NY
NPI
1376318253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2023-11-20
Last Update Date
2023-11-20
Business Address
PATRICIA DOUGLAS
299 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776-1217
Phone number: 631-473-4284
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Mailing Address
PATRICIA DOUGLAS
317 MADISON ST
WEST ISLIP, NY 11795-2219
Phone number:
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