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1003342650
DORDONIDE I BACKER
BRENTWOOD, NY
NPI
1003342650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 324478)
Enumeration Date
2017-05-02
Last Update Date
2017-05-02
Business Address
DORDONIDE I BACKER
43 ROBIN HILL PL
BRENTWOOD, NY 11717-5709
Phone number: 631-742-4089
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Mailing Address
DORDONIDE I BACKER
43 ROBIN HILL PL
BRENTWOOD, NY 11717-5709
Phone number: 631-742-4089
Copy
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