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1588194906
LARA J SPECIAL SERVICES CORPORATION
STATEN ISLAND, NY
NPI
1588194906
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Entity Type
Organization
Authorized Contact
LARISA JDANOVA
President
347-272-4898
Organization Subpart ?
No
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2017-06-18
Last Update Date
2022-07-21
Business Address
LARA J SPECIAL SERVICES CORPORATION
273 LEVERETT AVE
STATEN ISLAND, NY 10308-1508
Phone number: 347-272-4898
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Mailing Address
LARA J SPECIAL SERVICES CORPORATION
273 LEVERETT AVE
STATEN ISLAND, NY 10308-1508
Phone number: 347-272-4898
Copy
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