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1033464599
IMOGENE THOMPSON
ROSEDALE, NY
NPI
1033464599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 310422-1)
Enumeration Date
2012-07-19
Last Update Date
2012-07-19
Business Address
-- IMOGENE THOMPSON LPN
25719 148TH DR
ROSEDALE, NY 11422-3018
Phone number: 718-666-1425
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Mailing Address
-- IMOGENE THOMPSON LPN
25719 148TH DR
ROSEDALE, NY 11422-3018
Phone number: 718-666-1425
Copy
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