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1538313630
TARA NELSEN-DEFALCO
PARK RIDGE, NJ
NPI
1538313630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 015795)
Enumeration Date
2008-11-17
Last Update Date
2008-11-17
Business Address
Ms. TARA NELSEN-DEFALCO
189 PARK AVE
PARK RIDGE, NJ 07656-1339
Phone number: 914-420-6896
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Mailing Address
Ms. TARA NELSEN-DEFALCO
189 PARK AVE
PARK RIDGE, NJ 07656-1339
Phone number: 914-420-6896
Copy
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