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1801049283
LISA HOM
BROOKLYN, NY
NPI
1801049283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: NY 0095991)
Enumeration Date
2008-10-29
Last Update Date
2008-10-29
Business Address
-- LISA HOM
66 MONTAGUE ST
BROOKLYN, NY 11201-3342
Phone number: 718-596-4742
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Mailing Address
-- LISA HOM
66 MONTAGUE ST
BROOKLYN, NY 11201-3342
Phone number: 718-596-4742
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