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1144363151
JENNIFER JOY FAGAN
NEWBURGH, NY
NPI
1144363151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 006651)
Enumeration Date
2007-02-15
Last Update Date
2007-07-08
Business Address
Mrs. JENNIFER JOY FAGAN COTA
1607 ROUTE 300 STE 102
NEWBURGH, NY 12550-1738
Phone number: 845-564-9853
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Mailing Address
Mrs. JENNIFER JOY FAGAN COTA
17 WINCHESTER WAY
WASHINGTONVILLE, NY 10992-1741
Phone number: 845-496-1459
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