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1104165778
MANDISA J. SAMUEL
MOUNT VERNON, NY
NPI
1104165778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 311705-1)
Enumeration Date
2013-02-02
Last Update Date
2013-02-02
Business Address
Miss MANDISA J. SAMUEL LPN
53 BELL AVE
MOUNT VERNON, NY 10550-4808
Phone number: 646-778-6501
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Mailing Address
Miss MANDISA J. SAMUEL LPN
53 BELL AVE
MOUNT VERNON, NY 10550-4808
Phone number: 646-778-6501
Copy
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