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1043873508
JACQUELINE EILEEN TIERNEY
GARDEN CITY, NY
NPI
1043873508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 002892)
Enumeration Date
2019-04-19
Last Update Date
2019-04-19
Business Address
Miss JACQUELINE EILEEN TIERNEY ATC
1300 FRANKLIN AVE
GARDEN CITY, NY 11530-1886
Phone number: 516-663-1052
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Mailing Address
Miss JACQUELINE EILEEN TIERNEY ATC
1300 FRANKLIN AVE
GARDEN CITY, NY 11530-1886
Phone number:
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