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1104125673
LISA MARIE RODRIGUEZ
CORAM, NY
NPI
1104125673
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 303405)
Enumeration Date
2011-03-22
Last Update Date
2011-03-22
Business Address
LISA MARIE RODRIGUEZ LPN
6 HALLOWELL LN
CORAM, NY 11727-1801
Phone number: 631-846-9313
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Mailing Address
LISA MARIE RODRIGUEZ LPN
6 HALLOWELL LN
CORAM, NY 11727-1801
Phone number: 631-846-9313
Copy
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