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1114299500
MELISSA LARSON
SUFFERN, NY
NPI
1114299500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 307699)
Enumeration Date
2012-02-01
Last Update Date
2024-06-06
Business Address
MELISSA LARSON LPN
99 WASHINGTON AVE
SUFFERN, NY 10901-6026
Phone number: 845-357-4500
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Mailing Address
MELISSA LARSON LPN
64 TUDOR LN
PINE BUSH, NY 12566-5617
Phone number: 845-381-7846
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