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1609300151
KIERA MARIE HAAS
STONY BROOK, NY
NPI
1609300151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NY 092637)
Enumeration Date
2017-04-11
Last Update Date
2017-04-12
Business Address
-- KIERA MARIE HAAS
100 NICOLLS RD
STONY BROOK, NY 11794-0001
Phone number: 631-444-4000
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Mailing Address
-- KIERA MARIE HAAS
752 MILLIGAN LN
WEST ISLIP, NY 11795-3419
Phone number: 631-848-7188
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