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1083375901
ELISSA SHEPHERD
NEW WINDSOR, NY
NPI
1083375901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 341413-01)
Enumeration Date
2022-01-03
Last Update Date
2022-01-03
Business Address
ELISSA SHEPHERD
1103 HAWTHORN WAY
NEW WINDSOR, NY 12553-4785
Phone number: 646-732-9848
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Mailing Address
ELISSA SHEPHERD
1103 HAWTHORN WAY
NEW WINDSOR, NY 12553-4785
Phone number: 646-732-9848
Copy
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