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1992066898
LISA HOFFMANN
RONKONKOMA, NY
NPI
1992066898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 916315834)
Enumeration Date
2012-06-06
Last Update Date
2012-06-06
Business Address
LISA HOFFMANN
90 AIR PARK DR
RONKONKOMA, NY 11779-7360
Phone number: 631-580-4004
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Mailing Address
LISA HOFFMANN
90 AIR PARK DR
RONKONKOMA, NY 11779-7360
Phone number:
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