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1366687931
LISA ELMORE
JAMAICA, NY
NPI
1366687931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 005079-1)
Enumeration Date
2008-12-10
Last Update Date
2008-12-10
Business Address
Mrs. LISA ELMORE
8225 164TH ST
JAMAICA, NY 11432-1120
Phone number: 718-374-0002
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Mailing Address
Mrs. LISA ELMORE
8115 164TH ST
JAMAICA, NY 11432-1118
Phone number: 718-380-3000
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