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1487910915
JACKLYN DAVIDOV
JAMAICA, NY
NPI
1487910915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-04-10
Last Update Date
2019-09-11
Business Address
JACKLYN DAVIDOV
9004 161ST ST SUITE 304
JAMAICA, NY 11432-6141
Phone number: 718-206-1000
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Mailing Address
JACKLYN DAVIDOV
7238 MAIN ST
FLUSHING, NY 11367-2408
Phone number: 718-851-3300
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