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1528104502
GEORGE KENNETH MAHER
RONKONKOMA, NY
NPI
1528104502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 008746-1)
Enumeration Date
2007-01-29
Last Update Date
2007-07-08
Business Address
Mr. GEORGE KENNETH MAHER
90 AIR PARK DR
RONKONKOMA, NY 11779-7360
Phone number: 631-580-4016
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Mailing Address
Mr. GEORGE KENNETH MAHER
47 FLINTRIDGE DR
HOLBROOK, NY 11741-2805
Phone number: 631-472-2423
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