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1134531239
LESLIE IRIZARRY
OCEANSIDE, NY
NPI
1134531239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 624034190)
Enumeration Date
2014-05-22
Last Update Date
2014-05-22
Business Address
Ms. LESLIE IRIZARRY
3757 MAHLON BROWER DR
OCEANSIDE, NY 11572-5950
Phone number: 516-851-2770
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Mailing Address
Ms. LESLIE IRIZARRY
3757 MAHLON BROWER DR
OCEANSIDE, NY 11572-5950
Phone number: 516-851-2770
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