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1942564901
ROSA M HOMOLKA
ASTORIA, NY
NPI
1942564901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 08042962)
Enumeration Date
2012-06-25
Last Update Date
2012-06-25
Business Address
-- ROSA M HOMOLKA
2156 33RD ST
ASTORIA, NY 11105-2303
Phone number: 718-204-0473
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Mailing Address
-- ROSA M HOMOLKA
2156 33RD ST
ASTORIA, NY 11105-2303
Phone number:
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