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1255696712
MICHAEL MCDONALD
MASSAPEQUA, NY
NPI
1255696712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 209982031)
Enumeration Date
2012-07-11
Last Update Date
2012-07-11
Business Address
Mr. MICHAEL MCDONALD
17 MARSHALL ST
MASSAPEQUA, NY 11758-5437
Phone number: 516-841-5706
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Mailing Address
Mr. MICHAEL MCDONALD
17 MARSHALL ST
MASSAPEQUA, NY 11758-5437
Phone number: 516-841-5706
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