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1326457573
PHYLLIS VRETENICIC
OCEANSIDE, NY
NPI
1326457573
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Former Name
PHYLLIS GENNARO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: NY 387820031)
Enumeration Date
2014-08-12
Last Update Date
2014-08-12
Business Address
Ms. PHYLLIS VRETENICIC MD
527 PEARL ST
OCEANSIDE, NY 11572-1934
Phone number: 516-581-0960
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Mailing Address
Ms. PHYLLIS VRETENICIC MD
527 PEARL ST
OCEANSIDE, NY 11572-1934
Phone number: 516-581-0960
Copy
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