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1467938498
LAUREN WAVRA
MEDFORD, NY
NPI
1467938498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 0277)
Enumeration Date
2018-07-12
Last Update Date
2018-07-12
Business Address
LAUREN WAVRA
2805 BILLY CT
MEDFORD, NY 11763-2100
Phone number: 631-902-6677
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Mailing Address
LAUREN WAVRA
2805 BILLY CT
MEDFORD, NY 11763-2100
Phone number: 631-902-6677
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