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1568796209
JEANETTE J DIBIASE
STATEN ISLAND, NY
NPI
1568796209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 016872)
Enumeration Date
2009-09-29
Last Update Date
2019-09-24
Business Address
Mrs. JEANETTE J DIBIASE SLP
234 IONIA AVE
STATEN ISLAND, NY 10312-3552
Phone number: 917-859-8372
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Mailing Address
Mrs. JEANETTE J DIBIASE SLP
234 IONIA AVE
STATEN ISLAND, NY 10312-3552
Phone number: 917-859-8372
Copy
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