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1053002709
DIANE HASLAM
BRONX, NY
NPI
1053002709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 308717)
Enumeration Date
2023-05-15
Last Update Date
2023-05-16
Business Address
DIANE HASLAM
4152 PAULDING AVE
BRONX, NY 10466-4710
Phone number: 908-494-0545
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Mailing Address
DIANE HASLAM
4152 PAULDING AVE
BRONX, NY 10466-4710
Phone number:
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