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1124390745
MAXINE ANNE MALONE
NEDROW, NY
NPI
1124390745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 265225-1)
Enumeration Date
2012-01-27
Last Update Date
2012-01-27
Business Address
MAXINE ANNE MALONE LPN
204 THOMPSON RD
NEDROW, NY 13120-1022
Phone number: 315-480-0355
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Mailing Address
MAXINE ANNE MALONE LPN
PO BOX 102 THOMPSON RD
NEDROW, NY 13120-0102
Phone number: 315-480-0355
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