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1972617173
KENNETH WALLACE LANDEAU
HAUPPAUGE, NY
NPI
1972617173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251C00000X Day Training, Developmentally Disabled Services
(Licence: NY 005537-1)
Enumeration Date
2006-08-18
Last Update Date
2007-07-08
Business Address
Mr. KENNETH WALLACE LANDEAU COTA/L
120 PLANT AVE
HAUPPAUGE, NY 11788-3805
Phone number: 631-851-3810
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Mailing Address
Mr. KENNETH WALLACE LANDEAU COTA/L
394 TOWNLINE RD
COMMACK, NY 11725-1424
Phone number: 631-499-4661
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