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1497020606
LISA FAILLA
SHIRLEY, NY
NPI
1497020606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 526291)
Enumeration Date
2012-03-21
Last Update Date
2012-03-21
Business Address
-- LISA FAILLA
550 MONTAUK HWY
SHIRLEY, NY 11967-2114
Phone number: 631-852-1070
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Mailing Address
-- LISA FAILLA
550 MONTAUK HWY
SHIRLEY, NY 11967-2114
Phone number: 631-852-1070
Copy
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