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1982997888
THERESA M DEROSE
CHEEKTOWAGA, NY
NPI
1982997888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NY 018335-1)
Enumeration Date
2011-05-25
Last Update Date
2011-05-25
Business Address
-- THERESA M DEROSE LMT
704 BEACH RD
CHEEKTOWAGA, NY 14225-1756
Phone number: 716-866-4452
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Mailing Address
-- THERESA M DEROSE LMT
704 BEACH RD
CHEEKTOWAGA, NY 14225-1756
Phone number: 716-866-4452
Copy
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