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1902022718
HEIDI A NIESSNER
JOHNSTOWN, PA
NPI
1902022718
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: PA SL005810L)
Enumeration Date
2007-04-18
Last Update Date
2008-04-22
Business Address
-- HEIDI A NIESSNER
111 MARKET ST
JOHNSTOWN, PA 15901-1608
Phone number: 814-539-1919
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Mailing Address
-- HEIDI A NIESSNER
111 MARKET ST
JOHNSTOWN, PA 15901-1608
Phone number: 814-539-1919
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