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1144505660
ANA V TEAGUE
CENTRAL ISLIP, NY
NPI
1144505660
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 3070501)
Enumeration Date
2011-10-15
Last Update Date
2020-05-19
Business Address
ANA V TEAGUE LPN
37 ASH ST
CENTRAL ISLIP, NY 11722-3853
Phone number: 631-575-8304
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Mailing Address
ANA V TEAGUE LPN
1 HOFFMAN LN
CENTRAL ISLIP, NY 11722-2528
Phone number: 631-796-4848
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