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1013449834
JENNIE LAVIA
ROOSEVELT, NY
NPI
1013449834
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 1070828)
Enumeration Date
2017-03-30
Last Update Date
2017-03-30
Business Address
-- JENNIE LAVIA MSEd
31 DAWES AVE
ROOSEVELT, NY 11575-2111
Phone number: 646-508-9548
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Mailing Address
-- JENNIE LAVIA MSEd
31 DAWES AVE
ROOSEVELT, NY 11575-2111
Phone number: 646-508-9548
Copy
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