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1457610826
HEATHER M BOLANOS
MELVILLE, NY
NPI
1457610826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: NY 021899)
Enumeration Date
2012-05-04
Last Update Date
2012-05-04
Business Address
MRS. HEATHER M BOLANOS MS SLP
538 BROADHOLLOW RD STE 202
MELVILLE, NY 11747-3668
Phone number: 516-322-6349
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Mailing Address
MRS. HEATHER M BOLANOS MS SLP
51 LINCOLN AVE APT D3
ROCKVILLE CENTRE, NY 11570-5730
Phone number: 516-322-6349
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