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1790092583
KELLY G COOPER
BROOKLYN, NY
NPI
1790092583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: NY 016567)
Enumeration Date
2010-09-01
Last Update Date
2010-09-01
Business Address
MISS KELLY G COOPER
1312 38TH ST
BROOKLYN, NY 11218-3612
Phone number: 718-686-2367
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Mailing Address
MISS KELLY G COOPER
507 BRADFORD ST
BROOKLYN, NY 11207-5506
Phone number:
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