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1801151188
KRISTA HAWTHORNE-BONANNO
STATEN ISLAND, NY
NPI
1801151188
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Former Name
KRISTA HAWTHORNE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 173389021)
Enumeration Date
2012-07-12
Last Update Date
2012-07-12
Business Address
Mrs. KRISTA HAWTHORNE-BONANNO Krista Bonanno
114 CHANDLER AVE
STATEN ISLAND, NY 10314-2925
Phone number: 718-477-0351
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Mailing Address
Mrs. KRISTA HAWTHORNE-BONANNO Krista Bonanno
114 CHANDLER AVE
STATEN ISLAND, NY 10314-2925
Phone number: 718-477-0351
Copy
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