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1407092190
JACQUELYN SUE KORNBLATT
COMMACK, NY
NPI
1407092190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2008-12-30
Last Update Date
2008-12-30
Business Address
-- JACQUELYN SUE KORNBLATT
145 COMMACK RD
COMMACK, NY 11725-3438
Phone number: 631-499-5360
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Mailing Address
-- JACQUELYN SUE KORNBLATT
145 COMMACK RD
COMMACK, NY 11725-3438
Phone number: 631-499-5360
Copy
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