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1114204054
GENEVE SHAUN GORDON
BRONX, NY
NPI
1114204054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 307179)
Enumeration Date
2011-11-07
Last Update Date
2011-11-07
Business Address
Miss GENEVE SHAUN GORDON LPN
3232 WILSON AVE
BRONX, NY 10469-2908
Phone number: 718-547-4275
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Mailing Address
Miss GENEVE SHAUN GORDON LPN
3232 WILSON AVENUE
BRONX, NY 10469
Phone number: 718-547-4275
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