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1639810567
LIFAN FAN
BAY SHORE, NY
NPI
1639810567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
LIFAN FAN
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-894-5334
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Mailing Address
LIFAN FAN
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-894-5334
Copy
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