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1396086567
LUCILLE A GANGI
MASTIC BEACH, NY
NPI
1396086567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2013-03-12
Last Update Date
2013-03-12
Business Address
Mrs. LUCILLE A GANGI MSED
32 PINE RD
MASTIC BEACH, NY 11951-2333
Phone number: 631-281-5142
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Mailing Address
Mrs. LUCILLE A GANGI MSED
32 PINE RD
MASTIC BEACH, NY 11951-2333
Phone number: 631-281-5142
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