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1487746277
LANI WEYMOUTH EVON
ASTORIA, NY
NPI
1487746277
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
273Y00000X Rehabilitation Unit
(Licence: NY 006541-1)
Enumeration Date
2006-09-29
Last Update Date
2011-12-14
Business Address
-- LANI WEYMOUTH EVON COTA
2327 24TH ST
ASTORIA, NY 11105-3414
Phone number: 917-439-9916
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Mailing Address
-- LANI WEYMOUTH EVON COTA
2327 24TH ST
ASTORIA, NY 11105-3414
Phone number: 718-932-7816
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