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1093910044
STACY MARIE MOWATT-FRITH
CENTRAL ISLIP, NY
NPI
1093910044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 278105)
Enumeration Date
2007-06-19
Last Update Date
2007-07-08
Business Address
Miss STACY MARIE MOWATT-FRITH LPN
27 JUNIPER ST
CENTRAL ISLIP, NY 11722-3806
Phone number: 631-512-6578
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Mailing Address
Miss STACY MARIE MOWATT-FRITH LPN
27 JUNIPER ST
CENTRAL ISLIP, NY 11722-3806
Phone number: 631-512-6578
Copy
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