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1043532864
MELISSA PENNANT
VALLEY STREAM, NY
NPI
1043532864
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 298786)
Enumeration Date
2010-02-20
Last Update Date
2022-11-10
Business Address
MELISSA PENNANT
189 BEECH ST
VALLEY STREAM, NY 11580-4903
Phone number: 718-809-9685
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Mailing Address
MELISSA PENNANT
189 BEECH ST
VALLEY STREAM, NY 11580-4903
Phone number: 718-809-9685
Copy
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