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1912288101
TARA LEISEGANG
VICTOR, NY
NPI
1912288101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 021032-1)
Enumeration Date
2011-09-01
Last Update Date
2012-11-19
Business Address
-- TARA LEISEGANG
590 FISHERS STATION DR STE 130
VICTOR, NY 14564-9744
Phone number: 585-924-7207
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Mailing Address
-- TARA LEISEGANG
590 FISHERS STATION DR STE 130
VICTOR, NY 14564-9744
Phone number: 585-924-7207
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