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1861707911
SHIRLEY A GIST
SPRINGFIELD GARDENS, NY
NPI
1861707911
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Professional Name
SHIRLEY ANN GIST
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 096641)
Enumeration Date
2010-08-13
Last Update Date
2010-08-13
Business Address
-- SHIRLEY A GIST sslp
13742 SOUTHGATE ST
SPRINGFIELD GARDENS, NY 11413-2627
Phone number: 718-978-5538
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Mailing Address
-- SHIRLEY A GIST sslp
137-42 SOUTHGATE STREET
SPRINGFIELD GARDENS, NY 11413-2627
Phone number: 718-978-5539
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