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1083252597
WADLIN ROBERTY
BRENTWOOD, NY
NPI
1083252597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 335617-01)
Enumeration Date
2019-12-16
Last Update Date
2019-12-16
Business Address
WADLIN ROBERTY
11 6TH AVE
BRENTWOOD, NY 11717-6122
Phone number: 631-796-8825
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Mailing Address
WADLIN ROBERTY
11 6TH AVE
BRENTWOOD, NY 11717-6122
Phone number: 631-796-8825
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