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1104456342
DIANA MARIE BASILE
FARMINGDALE, NY
NPI
1104456342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: NY 007004)
Enumeration Date
2020-01-15
Last Update Date
2020-01-15
Business Address
DIANA MARIE BASILE LMT
34 HEMPSTEAD TPKE
FARMINGDALE, NY 11735-2034
Phone number: 516-755-5855
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Mailing Address
DIANA MARIE BASILE LMT
29 JOHNSON CT
EAST NORWICH, NY 11732-1301
Phone number: 516-922-7336
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