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1164896304
AMANDA SUE
BRONX, NY
NPI
1164896304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 323817-1)
Enumeration Date
2015-11-28
Last Update Date
2015-11-28
Business Address
-- AMANDA SUE
764 BRADY AVE APT 231
BRONX, NY 10462-2761
Phone number: 917-795-3350
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Mailing Address
-- AMANDA SUE
764 BRADY AVE APT 231
BRONX, NY 10462-2761
Phone number: 917-795-3350
Copy
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