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1033668942
MALISSA SMITH
AMITYVILLE, NY
NPI
1033668942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 308821)
Enumeration Date
2016-10-04
Last Update Date
2016-10-04
Business Address
-- MALISSA SMITH
365 BROADWAY
AMITYVILLE, NY 11701-2716
Phone number: 631-608-8523
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Mailing Address
-- MALISSA SMITH
365 BROADWAY
AMITYVILLE, NY 11701-2716
Phone number: 631-608-8523
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