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1134468630
DANTIE SMITH
AMITYVILLE, NY
NPI
1134468630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 310752)
Enumeration Date
2013-02-05
Last Update Date
2013-02-05
Business Address
-- DANTIE SMITH
373 BROADWAY
AMITYVILLE, NY 11701-2707
Phone number: 631-608-8523
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Mailing Address
-- DANTIE SMITH
252 NASSAU AVE
FREEPORT, NY 11520-6117
Phone number:
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