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1285999706
LISA JO VASILUTH
COMMACK, NY
NPI
1285999706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Enumeration Date
2012-07-10
Last Update Date
2022-07-21
Business Address
Mrs. LISA JO VASILUTH MSED
31 ROXBURY DR
COMMACK, NY 11725-1324
Phone number: 631-827-1552
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Mailing Address
Mrs. LISA JO VASILUTH MSED
31 ROXBURY DR
COMMACK, NY 11725-1324
Phone number: 631-827-1552
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