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1316341498
STACIE DAMICO
STATEN ISLAND, NY
NPI
1316341498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 171m00000x)
Enumeration Date
2014-10-17
Last Update Date
2014-10-17
Business Address
-- STACIE DAMICO msed
12 PEBBLE LN
STATEN ISLAND, NY 10305-3776
Phone number: 347-681-0845
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Mailing Address
-- STACIE DAMICO msed
12 PEBBLE LN
STATEN ISLAND, NY 10305-3776
Phone number: 347-681-0845
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