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1043043938
KIMBERLY STAVOLA
SHIRLEY, NY
NPI
1043043938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 351003)
Enumeration Date
2024-08-26
Last Update Date
2024-08-26
Business Address
Mrs. KIMBERLY STAVOLA LPN
33 MALBA DR
SHIRLEY, NY 11967-3029
Phone number: 631-413-2337
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Mailing Address
Mrs. KIMBERLY STAVOLA LPN
33 MALBA DR
SHIRLEY, NY 11967-3029
Phone number: 631-413-2337
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