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1780967562
LYNN R MAGGIACOMO
MEDFORD, NY
NPI
1780967562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 011160-1)
Enumeration Date
2011-09-27
Last Update Date
2011-09-27
Business Address
Mrs. LYNN R MAGGIACOMO
159 SYRACUSE AVE
MEDFORD, NY 11763-3631
Phone number: 631-289-6861
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Mailing Address
Mrs. LYNN R MAGGIACOMO
159 SYRACUSE AVE
MEDFORD, NY 11763-3631
Phone number: 631-289-6861
Copy
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