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1427292317
JESSICA SHAW
BAYSIDE, NY
NPI
1427292317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 018187-1)
Enumeration Date
2009-04-23
Last Update Date
2009-04-23
Business Address
Miss JESSICA SHAW
2901 216TH ST
BAYSIDE, NY 11360-2810
Phone number: 718-281-8738
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Mailing Address
Miss JESSICA SHAW
20 CEDARLAWN BLVD
VALLEY STREAM, NY 11580-2002
Phone number:
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