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1780055996
JACK LAFOSSE
BAY SHORE, NY
NPI
1780055996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: NY X009251)
Enumeration Date
2015-10-14
Last Update Date
2015-10-14
Business Address
Dr. JACK LAFOSSE D.C.
1374 RICHLAND BLVD
BAY SHORE, NY 11706-4947
Phone number: 631-804-9995
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Mailing Address
Dr. JACK LAFOSSE D.C.
1374 RICHLAND BLVD
BAY SHORE, NY 11706-4947
Phone number: 631-804-9995
Copy
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