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1063712263
JEAN DERISSAINT
BROOKLYN, NY
NPI
1063712263
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 302111-1)
Enumeration Date
2010-10-22
Last Update Date
2011-04-07
Business Address
Mr. JEAN DERISSAINT LPN
697 E 39TH ST PH
BROOKLYN, NY 11203-5615
Phone number: 718-664-5793
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Mailing Address
Mr. JEAN DERISSAINT LPN
697 E 39TH ST PH
BROOKLYN, NY 11203-5615
Phone number: 718-664-5793
Copy
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