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1295431773
WANDA LEE WADE
NORTHPORT, NY
NPI
1295431773
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NY 027200-01)
Enumeration Date
2023-02-06
Last Update Date
2023-02-06
Business Address
WANDA LEE WADE LMT, CMLDT
5 VAUSE ST
NORTHPORT, NY 11768-2118
Phone number: 631-327-3324
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Mailing Address
WANDA LEE WADE LMT, CMLDT
5 VAUSE ST
NORTHPORT, NY 11768-2118
Phone number: 631-327-3324
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