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1073949889
LAURIE DIAZ
ROOSEVELT, NY
NPI
1073949889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 722390)
Enumeration Date
2013-09-25
Last Update Date
2013-09-25
Business Address
-- LAURIE DIAZ
380 WASHINGTON AVE
ROOSEVELT, NY 11575-1845
Phone number: 516-378-2000
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Mailing Address
-- LAURIE DIAZ
380 WASHINGTON AVE
ROOSEVELT, NY 11575-1845
Phone number:
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