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1265643860
LISA MARIE WISEL
LONG BEACH, NY
NPI
1265643860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 000708)
Enumeration Date
2007-05-24
Last Update Date
2007-07-08
Business Address
Ms. LISA MARIE WISEL ms,adtr-lcat
410 E BROADWAY NUMBER 2T
LONG BEACH, NY 11561-4446
Phone number: 516-431-8788
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Mailing Address
Ms. LISA MARIE WISEL ms,adtr-lcat
410 E BROADWAY NUMBER 2T
LONG BEACH, NY 11561-4446
Phone number: 516-431-8788
Copy
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