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1457759037
STEPHANIE LA BUA
NORTHPORT, NY
NPI
1457759037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 688978)
Enumeration Date
2014-12-12
Last Update Date
2014-12-12
Business Address
Miss STEPHANIE LA BUA
29 WREN CT
NORTHPORT, NY 11768-3345
Phone number: 631-747-4725
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Mailing Address
Miss STEPHANIE LA BUA
29 WREN COURT
NORTHPORT, NY 11768
Phone number:
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