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1932478278
TARA BONOMO
SYRACUSE, NY
NPI
1932478278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 015619-1)
Enumeration Date
2011-12-15
Last Update Date
2011-12-15
Business Address
-- TARA BONOMO SLP
600 W GENESEE ST
SYRACUSE, NY 13204-2304
Phone number: 315-475-1382
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Mailing Address
-- TARA BONOMO SLP
1603 COURT ST
SYRACUSE, NY 13208-1834
Phone number: 315-475-1382
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