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1043579139
SANDRADENE LYN
VALLEY STREAM, NY
NPI
1043579139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 259306)
Enumeration Date
2012-05-09
Last Update Date
2012-05-09
Business Address
SANDRADENE LYN LPN
13 CLEVELAND ST
VALLEY STREAM, NY 11580-6003
Phone number: 718-978-4999
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Mailing Address
SANDRADENE LYN LPN
23111 146TH AVE
SPRINGFIELD GARDENS, NY 11413-3922
Phone number: 347-331-6435
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