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1376183731
GINA OTIS
EAST SETAUKET, NY
NPI
1376183731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NY 010973)
Enumeration Date
2020-01-13
Last Update Date
2020-01-16
Business Address
GINA OTIS LMT
196 N BELLE MEAD RD STE 3
EAST SETAUKET, NY 11733-3477
Phone number: 631-445-9937
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Mailing Address
GINA OTIS LMT
16 IMPALA DR
CENTEREACH, NY 11720-1505
Phone number: 631-445-9937
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