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1881020683
LISA ANN COOPER
ROOSEVELT, NY
NPI
1881020683
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 369827091)
Enumeration Date
2013-09-25
Last Update Date
2013-09-25
Business Address
Ms. LISA ANN COOPER
380 WASHINGTON AVE
ROOSEVELT, NY 11575-1845
Phone number: 516-378-2000
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Mailing Address
Ms. LISA ANN COOPER
825 S WALNUT ST
LINDENHURST, NY 11757-5652
Phone number: 631-872-1969
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