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1255862462
CARRIE IMPERATO
SOUTHOLD, NY
NPI
1255862462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
405300000X Prevention Professional
(Licence: NY 022202)
Enumeration Date
2017-03-21
Last Update Date
2017-03-21
Business Address
-- CARRIE IMPERATO LMT
53345 MAIN RD
SOUTHOLD, NY 11971-4643
Phone number: 631-765-2100
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Mailing Address
-- CARRIE IMPERATO LMT
PO BOX 523
SOUTHOLD, NY 11971-0523
Phone number:
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