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1396984779
CLYTHA LAWANZA LANE
WEST HENRIETTA, NY
NPI
1396984779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: NY 008314-1)
Enumeration Date
2009-02-09
Last Update Date
2009-02-09
Business Address
MRS. CLYTHA LAWANZA LANE
147 BENNINGTON HILLS CT
WEST HENRIETTA, NY 14586-9768
Phone number: 585-334-6166
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Mailing Address
MRS. CLYTHA LAWANZA LANE
147 BENNINGTON HILLS CT
WEST HENRIETTA, NY 14586-9768
Phone number: 585-334-6166
Copy
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