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1104153964
ALICE SAM
HEMPSTEAD, NY
NPI
1104153964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 186770-1)
Enumeration Date
2009-11-14
Last Update Date
2009-11-14
Business Address
Ms. ALICE SAM lpn
215 CEDAR ST
HEMPSTEAD, NY 11550-5229
Phone number: 516-492-2975
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Mailing Address
Ms. ALICE SAM lpn
215 CEDAR ST
HEMPSTEAD, NY 11550-5229
Phone number: 516-492-2975
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