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Individual

JESSICA LYNN MANSUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
114 GENESEE ST, NEW HARTFORD, NY 13413-2329
(315) 735-3536
(156) 249-4143
Mailing address
114 GENESEE ST, NEW HARTFORD, NY 13413-2329
(315) 735-3536
(315) 624-9414

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
003165
NY
231H00000X
Audiologist
4102
SC

Other

Enumeration date
07/23/2018
Last updated
12/17/2024
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