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1003356080
KEAVE R. DAVIS
MOUNT VERNON, NY
NPI
1003356080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 328047-1)
Enumeration Date
2017-02-24
Last Update Date
2017-02-24
Business Address
Mr. KEAVE R. DAVIS LPN
23 N COLUMBUS AVE APT 12D
MOUNT VERNON, NY 10553-1043
Phone number: 914-803-3619
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Mailing Address
Mr. KEAVE R. DAVIS LPN
23 NORTH COLUMBUS AVE APT 12D
MOUNT VERNON, NY 10550
Phone number: 914-803-3619
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