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1508313958
BRETT KORNBLUM
OCEANSIDE, NY
NPI
1508313958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 946490151)
Enumeration Date
2016-09-01
Last Update Date
2016-09-01
Business Address
Mr. BRETT KORNBLUM
146 VIRGINIA AVE
OCEANSIDE, NY 11572-5433
Phone number: 516-314-1234
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Mailing Address
Mr. BRETT KORNBLUM
146 VIRGINIA AVE
OCEANSIDE, NY 11572-5433
Phone number:
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