GENELL LORENCIA BRADLEY

FREEPORT, NY
NPI1790030930
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
Enumeration Date2012-07-13
Last Update Date2012-07-13
Business Address
GENELL LORENCIA BRADLEY
111 WOODSIDE AVE
FREEPORT, NY 11520-1236
Phone number: 516-425-4853
Mailing Address
GENELL LORENCIA BRADLEY
111 WOODSIDE AVE
FREEPORT, NY 11520-1236
Phone number: 516-425-4853
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