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1396056750
LILLIE GATEWOOD
MELVILLE, NY
NPI
1396056750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 143674021)
Enumeration Date
2010-06-30
Last Update Date
2010-06-30
Business Address
Ms. LILLIE GATEWOOD
35 E LYONS ST
MELVILLE, NY 11747-1121
Phone number: 631-683-4790
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Mailing Address
Ms. LILLIE GATEWOOD
35 E LYONS ST
MELVILLE, NY 11747-1121
Phone number: 631-683-4790
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