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1154776102
STACY M BERTRAM
MOUNT VERNON, NY
NPI
1154776102
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Former Name
STACY M LYNCH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 274466)
Enumeration Date
2016-04-27
Last Update Date
2016-04-27
Business Address
Miss STACY M BERTRAM LPN
300 GRAMATAN AVE APT G85
MOUNT VERNON, NY 10552-3245
Phone number: 914-437-1455
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Mailing Address
Miss STACY M BERTRAM LPN
300 GRAMATAN AVE APT G85
MOUNT VERNON, NY 10552-3245
Phone number: 914-437-1455
Copy
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