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1518697770
KANISA LANEE HOLDER
UNIONDALE, NY
NPI
1518697770
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
347C00000X Private Vehicle
Enumeration Date
2022-06-12
Last Update Date
2022-06-12
Business Address
KANISA LANEE HOLDER
245 ANCHOR WAY
UNIONDALE, NY 11553-1303
Phone number: 516-304-0768
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Mailing Address
KANISA LANEE HOLDER
245 ANCHOR WAY
UNIONDALE, NY 11553-1303
Phone number: 516-304-0768
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