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1083205348
LOURNA VANESSA DIEUJUSTE
BRENTWOOD, NY
NPI
1083205348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 336906)
Enumeration Date
2021-01-29
Last Update Date
2021-01-29
Business Address
LOURNA VANESSA DIEUJUSTE
11 FERRIS AVE
BRENTWOOD, NY 11717-7701
Phone number: 631-873-9826
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Mailing Address
LOURNA VANESSA DIEUJUSTE
11 FERRIS AVE
BRENTWOOD, NY 11717-7701
Phone number: 631-873-9826
Copy
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