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MOUNT VERNON, NY
NPI1093915100
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  219259-1)
Enumeration Date2007-07-18
Last Update Date2007-07-18
Business Address
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107 FORSTER AVE
MOUNT VERNON, NY 10552-2316
Phone number: 914-665-1983
Mailing Address
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107 FORSTER AVE
MOUNT VERNON, NY 10552-2316
Phone number: 914-665-1983
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