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1417385675
KAITLIN VIDAFAR
MELVILLE, NY
NPI
1417385675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 1076159)
Enumeration Date
2013-10-28
Last Update Date
2013-12-11
Business Address
Mrs. KAITLIN VIDAFAR
538 NEW YORK 110 #202
MELVILLE, NY 11174
Phone number: 631-385-7780
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Mailing Address
Mrs. KAITLIN VIDAFAR
51 ROY AVE
MASSAPEQUA, NY 11758-7539
Phone number: 631-513-8468
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