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1033687470
LIANA JON ANTONUCCI
BAYSIDE, NY
NPI
1033687470
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 1208684181)
Enumeration Date
2018-11-03
Last Update Date
2018-11-03
Business Address
LIANA JON ANTONUCCI
21408 40TH AVE
BAYSIDE, NY 11361-2117
Phone number: 845-558-8814
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Mailing Address
LIANA JON ANTONUCCI
21408 40TH AVE
BAYSIDE, NY 11361-2117
Phone number: 845-558-8814
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