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1801158928
LARA BETH WANLASS
HUNTINGTON, NY
NPI
1801158928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 414984031)
Enumeration Date
2012-06-14
Last Update Date
2016-09-16
Business Address
Ms. LARA BETH WANLASS MS
25 LITTLE PLAINS RD
HUNTINGTON, NY 11743-4550
Phone number: 631-266-4422
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Mailing Address
Ms. LARA BETH WANLASS MS
25 LITTLE PLAINS RD
HUNTINGTON, NY 11743-4550
Phone number: 631-266-4422
Copy
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