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1962773341
GINA GRANDE
VALLEY STREAM, NY
NPI
1962773341
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Former Name
GINA LATTANZIO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 016656)
Enumeration Date
2012-01-18
Last Update Date
2012-01-18
Business Address
Mrs. GINA GRANDE M.A.
320 FLETCHER AVE
VALLEY STREAM, NY 11580-3309
Phone number: 631-872-7748
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Mailing Address
Mrs. GINA GRANDE M.A.
19 ELMWOOD RD
DEER PARK, NY 11729-6105
Phone number: 631-796-0038
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