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1962758102
KARA FASTUCA
EAST MEADOW, NY
NPI
1962758102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 2113726)
Enumeration Date
2012-07-25
Last Update Date
2012-07-25
Business Address
-- KARA FASTUCA
1792 LENOX AVE
EAST MEADOW, NY 11554-4052
Phone number: 516-996-4292
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Mailing Address
-- KARA FASTUCA
1792 LENOX AVE
EAST MEADOW, NY 11554-4052
Phone number: 516-996-4292
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