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1134473945
FANNIE MARYLES
STATEN ISLAND, NY
NPI
1134473945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 2307473)
Enumeration Date
2012-10-31
Last Update Date
2012-10-31
Business Address
Mrs. FANNIE MARYLES
533 HAROLD ST
STATEN ISLAND, NY 10314-5017
Phone number: 718-370-8408
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Mailing Address
Mrs. FANNIE MARYLES
533 HAROLD ST
STATEN ISLAND, NY 10314-5017
Phone number: 718-370-8408
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