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1063810919
JENNA A MATTURA
STATEN ISLAND, NY
NPI
1063810919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 319371-1)
Enumeration Date
2014-12-09
Last Update Date
2015-10-06
Business Address
Miss JENNA A MATTURA LPN
275 CASTLETON AVE
STATEN ISLAND, NY 10301-2709
Phone number: 718-447-2829
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Mailing Address
Miss JENNA A MATTURA LPN
184 MANOR RD
STATEN ISLAND, NY 10310-2649
Phone number: 646-266-7477
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