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1013671312
LADAZIA JENAE HARRIS
BUFFALO, NY
NPI
1013671312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 337593)
Enumeration Date
2021-10-25
Last Update Date
2021-10-25
Business Address
LADAZIA JENAE HARRIS
18 BARBARA PL
BUFFALO, NY 14225-2829
Phone number: 716-578-7898
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Mailing Address
LADAZIA JENAE HARRIS
PO BOX 621
BUFFALO, NY 14240-0621
Phone number: 716-578-7898
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