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1023521689
DESIREE DARRELL
AMITYVILLE, NY
NPI
1023521689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 217546)
Enumeration Date
2017-11-06
Last Update Date
2017-11-06
Business Address
DESIREE DARRELL
365 BROADWAY
AMITYVILLE, NY 11701-2716
Phone number: 631-608-8523
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Mailing Address
DESIREE DARRELL
365 BROADWAY
AMITYVILLE, NY 11701-2716
Phone number: 631-608-8523
Copy
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