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1841806882
SAMANTHA JIMINEZ
STATEN ISLAND, NY
NPI
1841806882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 030074)
Enumeration Date
2020-09-16
Last Update Date
2020-09-16
Business Address
SAMANTHA JIMINEZ
141 JEANETTE AVE
STATEN ISLAND, NY 10312-3610
Phone number: 917-636-9846
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Mailing Address
SAMANTHA JIMINEZ
141 JEANETTE AVE
STATEN ISLAND, NY 10312-3610
Phone number: 917-636-9846
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