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1114253044
MAVIS JENNINGS
VALLEY STREAM, NY
NPI
1114253044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 563480)
Enumeration Date
2009-10-28
Last Update Date
2009-10-28
Business Address
-- MAVIS JENNINGS
53 WINGATE RD
VALLEY STREAM, NY 11581-2947
Phone number: 718-657-6891
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Mailing Address
-- MAVIS JENNINGS
53 WINGATE RD
VALLEY STREAM, NY 11581-2947
Phone number: 718-657-6891
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