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1083953459
MARIE MAUDE THELISMA
VALLEY STREAM, NY
NPI
1083953459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 311387-1)
Enumeration Date
2013-02-05
Last Update Date
2013-02-05
Business Address
Miss MARIE MAUDE THELISMA LPN
13 CLEVELAND STREET
VALLEY STREAM, NY 11580
Phone number: 718-529-3019
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Mailing Address
Miss MARIE MAUDE THELISMA LPN
14539 LINDEN BLVD
JAMAICA, NY 11436-1151
Phone number: 718-529-3019
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