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1003192360
LAVINIA LOCUST
SUFFERN, NY
NPI
1003192360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 473959)
Enumeration Date
2011-10-31
Last Update Date
2011-10-31
Business Address
-- LAVINIA LOCUST RN
99 WASHINGTON AVE
SUFFERN, NY 10901-6026
Phone number: 845-357-4500
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Mailing Address
-- LAVINIA LOCUST RN
103 BERKMAN DR
MIDDLETOWN, NY 10941-1254
Phone number: 845-978-4832
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