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1700937976
MARK C CORALLO
MARLBORO, NJ
NPI
1700937976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NJ 41ys00395600)
Enumeration Date
2007-01-15
Last Update Date
2007-07-08
Business Address
Mr. MARK C CORALLO MA CCC-SLP
9 S MAIN ST
MARLBORO, NJ 07746-1539
Phone number: 732-866-8490
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Mailing Address
Mr. MARK C CORALLO MA CCC-SLP
32 PARKER ST
EAST BRUNSWICK, NJ 08816-2145
Phone number: 732-254-7507
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