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1003469164
SHIVELL GARDENER
PLAINVIEW, NY
NPI
1003469164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-07-18
Last Update Date
2019-07-18
Business Address
SHIVELL GARDENER
55 W AMES CT STE 100
PLAINVIEW, NY 11803-2304
Phone number: 516-822-6111
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Mailing Address
SHIVELL GARDENER
55 W AMES CT STE 100
PLAINVIEW, NY 11803-2304
Phone number:
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