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1578951992
STEFANIE LACASSIA
CORAM, NY
NPI
1578951992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 311118)
Enumeration Date
2015-01-07
Last Update Date
2015-01-07
Business Address
-- STEFANIE LACASSIA
15 DORCHESTER DR
CORAM, NY 11727-2310
Phone number: 631-451-0434
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Mailing Address
-- STEFANIE LACASSIA
15 DORCHESTER DR
CORAM, NY 11727-2310
Phone number: 631-451-0434
Copy
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