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1104540186
REVA L. KITTRELL
MOUNT VERNON, NY
NPI
1104540186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 343959)
Enumeration Date
2022-10-03
Last Update Date
2022-10-03
Business Address
REVA L. KITTRELL LPN
11 W PROSPECT AVE
MOUNT VERNON, NY 10550-2017
Phone number: 914-668-8938
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Mailing Address
REVA L. KITTRELL LPN
845 N BROADWAY
WHITE PLAINS, NY 10603-2403
Phone number: 914-761-0600
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