JEAN LAINE

BROOKLYN, NY
NPI1972792760
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111NR0400X 
(Licence: NY  x011370-1)
Enumeration Date2007-10-17
Last Update Date2007-10-17
Business Address
-- JEAN LAINE
649 E 81ST ST
BROOKLYN, NY 11236-3303
Phone number: 917-295-5048
Mailing Address
-- JEAN LAINE
649 E 81ST ST
BROOKLYN, NY 11236-3303
Phone number: 917-295-5048
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