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1144681669
TRACEY S. ROUSSEAU
BROOKLYN, NY
NPI
1144681669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 709582131)
Enumeration Date
2016-03-10
Last Update Date
2016-03-10
Business Address
Ms. TRACEY S. ROUSSEAU
637 E 102ND ST
BROOKLYN, NY 11236-2645
Phone number: 917-445-3548
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Mailing Address
Ms. TRACEY S. ROUSSEAU
637 E 102ND ST
BROOKLYN, NY 11236-2645
Phone number: 917-445-3548
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