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1912349358
JOHANNA LAROS
JAMAICA, NY
NPI
1912349358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 158309827)
Enumeration Date
2013-07-26
Last Update Date
2013-07-26
Business Address
-- JOHANNA LAROS
117-21 SUTPHIN BOULEVARD
JAMAICA, NY 11434
Phone number: 718-848-0276
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Mailing Address
-- JOHANNA LAROS
555 FRANKLIN BLVD
LONG BEACH, NY 11561-2447
Phone number:
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