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1720101603
LAURA L DRAKE
SALEM, NJ
NPI
1720101603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: NJ 46TA09043100)
Enumeration Date
2007-04-07
Last Update Date
2007-07-08
Business Address
Miss LAURA L DRAKE COTA
123 HAINES NECK RD
SALEM, NJ 08079-4516
Phone number: 856-299-7779
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Mailing Address
Miss LAURA L DRAKE COTA
123 HAINES NECK RD
SALEM, NJ 08079-4516
Phone number: 856-299-7779
Copy
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