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1285258475
DEIDRE A MARTINEZ
RONKONKOMA, NY
NPI
1285258475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2020-06-03
Last Update Date
2020-06-03
Business Address
MS. DEIDRE A MARTINEZ
340 SOUTHPORT ST
RONKONKOMA, NY 11779-6229
Phone number: 516-429-2374
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Mailing Address
MS. DEIDRE A MARTINEZ
340 SOUTHPORT ST
RONKONKOMA, NY 11779-6229
Phone number: 516-429-2374
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