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1023589538
WANNY BLAKE
BROOKLYN, NY
NPI
1023589538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 303536-1)
Enumeration Date
2018-12-09
Last Update Date
2018-12-09
Business Address
WANNY BLAKE LPN
89 BARTLETT ST
BROOKLYN, NY 11206-4463
Phone number: 718-387-8181
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Mailing Address
WANNY BLAKE LPN
193 MORNINGSTAR RD
STATEN ISLAND, NY 10303-2812
Phone number: 347-322-8922
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