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1629332887
TARA C EY-DEFAZIO
LONG BEACH, NY
NPI
1629332887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Enumeration Date
2012-07-02
Last Update Date
2012-07-02
Business Address
Mrs. TARA C EY-DEFAZIO TSHH/DHH
67 ARIZONA AVE
LONG BEACH, NY 11561-1531
Phone number: 516-818-4749
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Mailing Address
Mrs. TARA C EY-DEFAZIO TSHH/DHH
67 ARIZONA AVE
LONG BEACH, NY 11561
Phone number:
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