KRISTA BOURNE

PORT JEFFERSON STATION, NY
NPI1821130659
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  008092-1)
Enumeration Date2007-02-12
Last Update Date2007-07-08
Business Address
-- KRISTA BOURNE
15 LILLIAN STREET
PORT JEFFERSON STATION, NY 11776
Phone number: 631-474-8697
Mailing Address
-- KRISTA BOURNE
15 LILLIAN STREET
PORT JEFFERSON STATION, NY 11776
Phone number: 631-474-8697
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