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1881160851
JENNA A. DEROSA
LEXINGTON, SC
NPI
1881160851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2018-10-17
Last Update Date
2018-10-17
Business Address
JENNA A. DEROSA
5175 SUNSET BLVD STE M
LEXINGTON, SC 29072-7319
Phone number: 803-359-3195
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Mailing Address
JENNA A. DEROSA
578 DUDLEY DR
FORT MILL, SC 29715-9804
Phone number:
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