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1508129610
MONIQUE LYNETTE ELLIS
BROOKLYN, NY
NPI
1508129610
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Professional Name
MONIQUE LYNETTE WALLACE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2012-06-22
Last Update Date
2012-06-22
Business Address
Miss MONIQUE LYNETTE ELLIS
111 LIVINGSTON STREET
BROOKLYN, NY 11201
Phone number: 718-851-8070
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Mailing Address
Miss MONIQUE LYNETTE ELLIS
111 LIVINGSTON ST
BROOKLYN, NY 11201-5078
Phone number: 718-625-4055
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