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1346756053
MICHELLE QUEAL
COMMACK, NY
NPI
1346756053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist Optician
(Licence: NY 009196-1)
Enumeration Date
2017-12-18
Last Update Date
2017-12-18
Business Address
MICHELLE QUEAL LDO
85 CROOKED HILL RD
COMMACK, NY 11725-5407
Phone number: 631-864-1975
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Mailing Address
MICHELLE QUEAL LDO
122 RIVERSIDE AVE
MASTIC BEACH, NY 11951-1114
Phone number: 631-672-6445
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