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1417381427
JENNA MARIE VITALE
LONG BEACH, NY
NPI
1417381427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 1134654)
Enumeration Date
2013-08-27
Last Update Date
2013-08-27
Business Address
-- JENNA MARIE VITALE M.S. ed
420 SHORE RD APT 1E
LONG BEACH, NY 11561
Phone number: 516-790-1990
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Mailing Address
-- JENNA MARIE VITALE M.S. ed
420 SHORE RD APT 1E
LONG BEACH, NY 11561-5302
Phone number: 516-790-1990
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