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1316128143
CAROLYN ANNE LONDON
RIVERHEAD, NY
NPI
1316128143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: NY C003396)
Enumeration Date
2007-11-20
Last Update Date
2008-05-20
Business Address
-- CAROLYN ANNE LONDON Optician
312 ROANOKE AVE
RIVERHEAD, NY 11901-2723
Phone number: 631-727-3274
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Mailing Address
-- CAROLYN ANNE LONDON Optician
312 ROANOKE AVE
RIVERHEAD, NY 11901-2723
Phone number: 631-727-3274
Copy
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