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1720521693
JAIME KOPSTICK
FLUSHING, NY
NPI
1720521693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 12104296)
Enumeration Date
2016-11-28
Last Update Date
2016-11-28
Business Address
-- JAIME KOPSTICK
15840 76TH RD
FLUSHING, NY 11366-1032
Phone number: 718-380-6929
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Mailing Address
-- JAIME KOPSTICK
15840 76TH RD
FLUSHING, NY 11366-1032
Phone number: 718-380-6929
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