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1063885077
DWIGHNELLE DOUGLAS
HEMPSTEAD, NY
NPI
1063885077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 320837)
Enumeration Date
2015-11-12
Last Update Date
2015-11-12
Business Address
-- DWIGHNELLE DOUGLAS LPN
77 THORNE AVE
HEMPSTEAD, NY 11550-5706
Phone number: 516-850-8525
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Mailing Address
-- DWIGHNELLE DOUGLAS LPN
77 THORNE AVE
HEMPSTEAD, NY 11550-5706
Phone number: 516-850-8525
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