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1396007159
SHELLY ZACEK
SYRACUSE, NY
NPI
1396007159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: NY 850833)
Enumeration Date
2012-06-07
Last Update Date
2012-06-07
Business Address
MRS. SHELLY ZACEK
1045 JAMES ST
SYRACUSE, NY 13203-2730
Phone number: 315-425-1004
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Mailing Address
MRS. SHELLY ZACEK
1045 JAMES ST
SYRACUSE, NY 13203-2730
Phone number: 315-425-1004
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