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1619007259
JENELLE M GALLARDO
SYRACUSE, NY
NPI
1619007259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 005838)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
-- JENELLE M GALLARDO
600 S WILBUR AVE
SYRACUSE, NY 13204-2730
Phone number: 315-432-0351
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Mailing Address
-- JENELLE M GALLARDO
607 FERN RD
SYRACUSE, NY 13219-2217
Phone number: 315-243-5494
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