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Individual
MR. JASON EDWARD MUCHA
Active
Individual
MR. JASON EDWARD MUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12007685
NY
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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