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1053179887
VENECIA BLACKWOOD
BROOKLYN, NY
NPI
1053179887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 349042)
Enumeration Date
2024-03-07
Last Update Date
2024-03-07
Business Address
VENECIA BLACKWOOD
6424 18TH AVE FL 2
BROOKLYN, NY 11204-3729
Phone number: 212-687-7464
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Mailing Address
VENECIA BLACKWOOD
13439 154TH ST
JAMAICA, NY 11434-3615
Phone number:
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