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1649686726
ETHEL LASTRA-REIS
BROOKLYN, NY
NPI
1649686726
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Professional Name
ETHEL LASTRA REIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 958000)
Enumeration Date
2014-07-09
Last Update Date
2014-07-09
Business Address
-- ETHEL LASTRA-REIS MS
7825 4TH AVE APT B8
BROOKLYN, NY 11209-3718
Phone number: 917-836-3183
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Mailing Address
-- ETHEL LASTRA-REIS MS
7825 4TH AVE APT B8
BROOKLYN, NY 11209-3718
Phone number: 917-836-3183
Copy
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