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1770896110
JEANINE DIESSO
STATEN ISLAND, NY
NPI
1770896110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 0139301)
Enumeration Date
2010-07-14
Last Update Date
2012-05-15
Business Address
-- JEANINE DIESSO
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-8307
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Mailing Address
-- JEANINE DIESSO
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-8307
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