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1518584762
BRIDGET QUINN WALLACE
WESTBURY, NY
NPI
1518584762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246Z00000X Specialist/Technologist, Other
(Licence: NY 1208156)
Enumeration Date
2020-07-02
Last Update Date
2020-07-02
Business Address
BRIDGET QUINN WALLACE Teacher
1400 OLD COUNTRY RD STE C-103N
WESTBURY, NY 11590-5156
Phone number: 516-806-6969
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Mailing Address
BRIDGET QUINN WALLACE Teacher
205 STEVEN PL APT 3C
WOODMERE, NY 11598-2504
Phone number: 631-804-8184
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