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1013230143
MABLE CLOTILDA HALLIBURTON
LAURELTON, NY
NPI
1013230143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 244215)
Enumeration Date
2010-03-03
Last Update Date
2010-03-03
Business Address
-- MABLE CLOTILDA HALLIBURTON LPN
13118 227TH ST
LAURELTON, NY 11413-1737
Phone number: 718-341-1102
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Mailing Address
-- MABLE CLOTILDA HALLIBURTON LPN
13118 227TH ST
LAURELTON, NY 11413-1737
Phone number: 718-341-1102
Copy
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