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1114462850
CHANELLE EASTMAN
ELMIRA, NY
NPI
1114462850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 324881)
Enumeration Date
2017-01-05
Last Update Date
2017-01-05
Business Address
Miss CHANELLE EASTMAN
924 LACKAWANNA AVE
ELMIRA, NY 14901-1525
Phone number: 607-333-4033
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Mailing Address
Miss CHANELLE EASTMAN
924 LACKAWANNA AVE
ELMIRA, NY 14901-1525
Phone number: 607-333-4033
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