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1003558552
JOSEPHINE LA CORTE
COPIAGUE, NY
NPI
1003558552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2022-04-13
Last Update Date
2022-04-13
Business Address
JOSEPHINE LA CORTE
445 OAK ST
COPIAGUE, NY 11726-3111
Phone number: 631-257-5173
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Mailing Address
JOSEPHINE LA CORTE
16 GARDEN PL
SHIRLEY, NY 11967-2208
Phone number: 631-576-6758
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