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1134512536
KIM WADE
BROOKLYN, NY
NPI
1134512536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: NY 171WOOOOOX)
Enumeration Date
2015-03-09
Last Update Date
2015-03-09
Business Address
KIM WADE MSED
25 VERNON AVE
BROOKLYN, NY 11206-6409
Phone number: 347-529-3980
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Mailing Address
KIM WADE MSED
25 VERNON AVE
BROOKLYN, NY 11206-6409
Phone number: 347-529-3980
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