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1154743318
DOMINIQUE VANTERPOOL
STATEN ISLAND, NY
NPI
1154743318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 1357465)
Enumeration Date
2014-01-07
Last Update Date
2014-01-07
Business Address
Ms. DOMINIQUE VANTERPOOL
83 COTTAGE PL
STATEN ISLAND, NY 10302-1522
Phone number: 917-421-6551
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Mailing Address
Ms. DOMINIQUE VANTERPOOL
83 COTTAGE PL
STATEN ISLAND, NY 10302-1522
Phone number: 917-421-6551
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