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1689787624
JILL SUZANNE LANE
DAVIE, FL
NPI
1689787624
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Former Name
JILL SUZANNE GOMEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL sa7798)
Enumeration Date
2006-08-16
Last Update Date
2017-10-17
Business Address
Ms. JILL SUZANNE LANE MS CCC-SLP
5451 DAVIE ROAD
DAVIE, FL 33314
Phone number: 954-290-4277
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Mailing Address
Ms. JILL SUZANNE LANE MS CCC-SLP
995 SW 147 AVE
PEMBROKE PINES, FL 33027
Phone number: 954-290-4277
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