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1043817018
JACQUELINE DEDOMENICO
MASSAPEQUA, NY
NPI
1043817018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NY 015300-1)
Enumeration Date
2020-10-02
Last Update Date
2020-10-02
Business Address
Ms. JACQUELINE DEDOMENICO LMT
72 PARKHILL AVE
MASSAPEQUA, NY 11758-4553
Phone number: 516-840-2383
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Mailing Address
Ms. JACQUELINE DEDOMENICO LMT
72 PARKHILL AVE
MASSAPEQUA, NY 11758-4553
Phone number:
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