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1023450574
FLORA LAX
BROOKLYN, NY
NPI
1023450574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: NY 352716091)
Enumeration Date
2013-07-25
Last Update Date
2013-07-25
Business Address
Mrs. FLORA LAX
1300 AVENUE S
BROOKLYN, NY 11229-3322
Phone number: 917-359-2111
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Mailing Address
Mrs. FLORA LAX
1300 AVENUE S
BROOKLYN, NY 11229-3322
Phone number: 917-359-2111
Copy
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