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1093022949
SHANTA POORAN
UNIONDALE, NY
NPI
1093022949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 271118-1)
Enumeration Date
2010-09-13
Last Update Date
2010-09-13
Business Address
Miss SHANTA POORAN lpn
875 JERUSALEM AVE
UNIONDALE, NY 11553-3038
Phone number: 516-572-1581
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Mailing Address
Miss SHANTA POORAN lpn
431 ARGYLE RD
EAST MEADOW, NY 11554-4204
Phone number: 516-783-5299
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