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1447734330
DIANA KEDDIS
STATEN ISLAND, NY
NPI
1447734330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
333600000X Pharmacy
Enumeration Date
2018-09-18
Last Update Date
2018-09-18
Business Address
DIANA KEDDIS
252 PORT RICHMOND AVE STE B
STATEN ISLAND, NY 10302-1740
Phone number: 718-556-0942
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Mailing Address
DIANA KEDDIS
252 PORT RICHMOND AVE
STATEN ISLAND, NY 10302-1749
Phone number:
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