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1528501210
AMANDA LISA BERMUDEZ
JACKSON HEIGHTS, NY
NPI
1528501210
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Former Name
AMANDA LISA SEPULVEDA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 58025300)
Enumeration Date
2016-11-29
Last Update Date
2016-11-29
Business Address
-- AMANDA LISA BERMUDEZ M.S.
3334 80TH ST
JACKSON HEIGHTS, NY 11372-1341
Phone number: 718-457-1242
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Mailing Address
-- AMANDA LISA BERMUDEZ M.S.
3334 80TH ST
JACKSON HEIGHTS, NY 11372-1341
Phone number:
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