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1124262555
GRACE CARLILE
HEMPSTEAD, NY
NPI
1124262555
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 230801)
Enumeration Date
2009-04-29
Last Update Date
2009-04-29
Business Address
-- GRACE CARLILE LPN
451 FULTON AVE APT 416
HEMPSTEAD, NY 11550-4125
Phone number: 917-862-5215
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Mailing Address
-- GRACE CARLILE LPN
35 TULIP AVENUE PO BOX 20838
FLORAL PARK, NY 11002-0838
Phone number: 917-862-5215
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