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1578601928
NICOLE NATASHA CHARLES
RONKONKOMA, NY
NPI
1578601928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 016918-1)
Enumeration Date
2007-02-01
Last Update Date
2007-07-08
Business Address
Miss NICOLE NATASHA CHARLES M.A., CCC-SLP
90 AIR PARK DR
RONKONKOMA, NY 11779-7360
Phone number: 631-580-4015
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Mailing Address
Miss NICOLE NATASHA CHARLES M.A., CCC-SLP
410 ROUTE 111
SMITHTOWN, NY 11787-4757
Phone number: 631-979-5322
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