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1063735512
ETHEL LANGE
APO, AE
NPI
1063735512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 415326-1)
Enumeration Date
2010-03-11
Last Update Date
2010-03-11
Business Address
-- ETHEL LANGE
CMR 414 BOX 1116
APO, AE 09173-0012
Phone number: 314-466-2502
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Mailing Address
-- ETHEL LANGE
78 NEW HAMPSHIRE ST
MILLINOCKET, ME 04462-2320
Phone number: 207-723-9320
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