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1912135716
MARK LUTSES
STATEN ISLAND, NY
NPI
1912135716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 014554-1)
Enumeration Date
2009-06-30
Last Update Date
2009-06-30
Business Address
Mr. MARK LUTSES SPL/TSHH
145 COLFAX AVE
STATEN ISLAND, NY 10306-3364
Phone number: 718-290-3561
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Mailing Address
Mr. MARK LUTSES SPL/TSHH
145 COLFAX AVE
STATEN ISLAND, NY 10306-3364
Phone number: 718-290-3561
Copy
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