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1134471386
RUTHANN SONIKA DEJESUS
CENTRAL ISLIP, NY
NPI
1134471386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 311665)
Enumeration Date
2012-10-12
Last Update Date
2012-10-12
Business Address
-- RUTHANN SONIKA DEJESUS LPN
1461 FERNDALE BLVD
CENTRAL ISLIP, NY 11722-2736
Phone number: 631-404-6512
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Mailing Address
-- RUTHANN SONIKA DEJESUS LPN
1461 FERNDALE BLVD
CENTRAL ISLIP, NY 11722-2736
Phone number: 631-404-6512
Copy
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