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1104171818
PATRICIA DOUGLAS
STATEN ISLAND, NY
NPI
1104171818
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY certified)
Enumeration Date
2012-07-18
Last Update Date
2012-07-18
Business Address
Ms. PATRICIA DOUGLAS MS
1550 FOREST HILL RD
STATEN ISLAND, NY 10314-6336
Phone number: 917-751-7599
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Mailing Address
Ms. PATRICIA DOUGLAS MS
1550 FOREST HILL RD
STATEN ISLAND, NY 10314-6336
Phone number:
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