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1053954453
NYESHA FRAZIER
CENTRAL ISLIP, NY
NPI
1053954453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 336739)
Enumeration Date
2019-10-18
Last Update Date
2019-10-18
Business Address
NYESHA FRAZIER LPN
47 POPLAR ST
CENTRAL ISLIP, NY 11722-3132
Phone number: 631-208-1968
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Mailing Address
NYESHA FRAZIER LPN
47 POPLAR ST
CENTRAL ISLIP, NY 11722-3132
Phone number: 631-208-1968
Copy
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