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1952991903
JACLYN ALEXA KUKOFF
SUMMIT, NJ
NPI
1952991903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
Enumeration Date
2021-01-24
Last Update Date
2021-01-24
Business Address
JACLYN ALEXA KUKOFF
151 SUMMIT AVE
SUMMIT, NJ 07901-2813
Phone number: 908-991-6423
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Mailing Address
JACLYN ALEXA KUKOFF
30 ROBIN RD
WARREN, NJ 07059-5054
Phone number: 908-344-8072
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