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1851765937
JENNIFER RUSSO
OLD BRIDGE, NJ
NPI
1851765937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NJ 41YS00779900)
Enumeration Date
2015-11-30
Last Update Date
2015-11-30
Business Address
Ms. JENNIFER RUSSO
12 LINDSEY CIR
OLD BRIDGE, NJ 08857-2678
Phone number: 732-757-9661
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Mailing Address
Ms. JENNIFER RUSSO
12 LINDSEY CIR
OLD BRIDGE, NJ 08857-2678
Phone number: 732-757-9661
Copy
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