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1063890127
MARIE JEAN MARIE BLAISE
HEMPSTEAD, NY
NPI
1063890127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 321701-1)
Enumeration Date
2015-05-09
Last Update Date
2015-05-09
Business Address
-- MARIE JEAN MARIE BLAISE
50 CLINTON ST
HEMPSTEAD, NY 11550-4281
Phone number: 516-933-0485
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Mailing Address
-- MARIE JEAN MARIE BLAISE
PO BOX 30455
ELMONT, NY 11003-0455
Phone number: 917-651-9449
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