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1285974105
TABITHA LIZZETTE LOPEZ
NEW YORK, NY
NPI
1285974105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Enumeration Date
2013-03-01
Last Update Date
2013-04-04
Business Address
-- TABITHA LIZZETTE LOPEZ
4124 9TH AVE
NEW YORK, NY 10034-1154
Phone number: 212-567-4353
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Mailing Address
-- TABITHA LIZZETTE LOPEZ
3224 GRAND CONCOURSE A51
BRONX, NY 10458
Phone number: 646-548-7110
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