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1134328271
WENDY CAROL PORTS
SHIRLEY, NY
NPI
1134328271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 00269213)
Enumeration Date
2007-07-17
Last Update Date
2007-07-17
Business Address
-- WENDY CAROL PORTS
243 W END AVE
SHIRLEY, NY 11967-1606
Phone number: 631-772-4871
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Mailing Address
-- WENDY CAROL PORTS
243 W END AVE
SHIRLEY, NY 11967-1606
Phone number:
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