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1932397759
JENNIFER M. RUSSO
BRIDGEPORT, CT
NPI
1932397759
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Former Name
JENNIFER M. PABON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CT 003894)
Enumeration Date
2007-10-05
Last Update Date
2007-10-05
Business Address
-- JENNIFER M. RUSSO
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number: 203-384-3000
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Mailing Address
-- JENNIFER M. RUSSO
1415 WASHINGTON BLVD
STAMFORD, CT 06902-2404
Phone number:
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