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1568978336
OLEG PETROGALIS
VALLEY STREAM, NY
NPI
1568978336
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: NY 6702)
Enumeration Date
2017-12-15
Last Update Date
2017-12-15
Business Address
OLEG PETROGALIS
77 GREEN ACRES RD
VALLEY STREAM, NY 11581-1008
Phone number: 516-612-0528
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Mailing Address
OLEG PETROGALIS
77 GREEN ACRES RD
VALLEY STREAM, NY 11581-1008
Phone number: 516-612-0528
Copy
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