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Individual
MAURA AMBROSE
Active
Individual
MAURA AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2203000791
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00
N/A
OH
Enumeration date
08/29/2019
Last updated
08/29/2019
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