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1992014237
MARK KENNETH HERBST
YOUNGSTOWN, NY
NPI
1992014237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 007612-1)
Enumeration Date
2010-10-05
Last Update Date
2010-10-05
Business Address
Mr. MARK KENNETH HERBST ms,ccc/slp
4061 CREEK RD
YOUNGSTOWN, NY 14174-9609
Phone number: 716-754-8281
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Mailing Address
Mr. MARK KENNETH HERBST ms,ccc/slp
4061 CREEK RD
YOUNGSTOWN, NY 14174-9609
Phone number: 716-754-8281
Copy
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