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1003259573
STACEY ANNE QUINTANILLA
MIDDLE ISLAND, NY
NPI
1003259573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174H00000X Health Educator
Enumeration Date
2013-04-15
Last Update Date
2013-04-15
Business Address
Ms. STACEY ANNE QUINTANILLA M.A.
35 LONGWOOD RD
MIDDLE ISLAND, NY 11953-2045
Phone number: 631-924-0008
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Mailing Address
Ms. STACEY ANNE QUINTANILLA M.A.
PO BOX 12
MIDDLE ISLAND, NY 11953-0012
Phone number: 631-924-0008
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