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1144894718
CODIE R LAKE
BRONX, NY
NPI
1144894718
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: NY 726518)
Enumeration Date
2021-05-18
Last Update Date
2021-05-18
Business Address
CODIE R LAKE RN
2039 NEREID AVE
BRONX, NY 10466-1110
Phone number: 917-645-6440
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Mailing Address
CODIE R LAKE RN
2039 NEREID AVE
BRONX, NY 10466-1110
Phone number: 917-645-6440
Copy
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