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1164299657
JITLADDA BANNON
FARMINGDALE, NY
NPI
1164299657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: NY 033328)
Enumeration Date
2023-12-05
Last Update Date
2023-12-05
Business Address
JITLADDA BANNON
25 W OAK ST
FARMINGDALE, NY 11735-3121
Phone number: 516-376-1503
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Mailing Address
JITLADDA BANNON
25 W OAK ST
FARMINGDALE, NY 11735-3121
Phone number:
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