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1093778904
LISA MARIE CANTARA
STONY BROOK, NY
NPI
1093778904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 297-1)
Enumeration Date
2006-04-11
Last Update Date
2007-07-08
Business Address
Ms. LISA MARIE CANTARA MS, ATC, CSCS
100 NICOLLS RD SBU, ISC
STONY BROOK, NY 11794-3500
Phone number: 631-632-7709
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Mailing Address
Ms. LISA MARIE CANTARA MS, ATC, CSCS
460 OLD TOWN RD 24F
PORT JEFFERSON STATION, NY 11776-2200
Phone number: 631-474-4908
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