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1003186511
TANYA LEACOCK
AMITYVILLE, NY
NPI
1003186511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 616321-1)
Enumeration Date
2011-12-31
Last Update Date
2011-12-31
Business Address
-- TANYA LEACOCK RN
88 BENBURB ST
AMITYVILLE, NY 11701-1453
Phone number: 516-366-8131
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Mailing Address
-- TANYA LEACOCK RN
88 BENBURB ST
AMITYVILLE, NY 11701-1453
Phone number: 516-366-8131
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