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1245782234
PAUL DEQUILLFELDT
MASSAPEQUA, NY
NPI
1245782234
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 67-003215)
Enumeration Date
2016-10-26
Last Update Date
2016-10-26
Business Address
PAUL DEQUILLFELDT ATC
5700 MERRICK RD
MASSAPEQUA, NY 11758
Phone number: 516-798-9605
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Mailing Address
PAUL DEQUILLFELDT ATC
5700 MERRICK RD
MASSAPEQUA, NY 11758
Phone number: 516-798-9605
Copy
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