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1134653595
KRISTEN FRACCAVENTO
STATEN ISLAND, NY
NPI
1134653595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Enumeration Date
2017-04-12
Last Update Date
2022-02-25
Business Address
KRISTEN FRACCAVENTO
198 ALVERSON AVE
STATEN ISLAND, NY 10309-1785
Phone number: 917-642-0769
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Mailing Address
KRISTEN FRACCAVENTO
3494 RICHMOND AVE
STATEN ISLAND, NY 10312-3251
Phone number:
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