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1174081400
TISHONA WATSON
CENTRAL ISLIP, NY
NPI
1174081400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 334691-1)
Enumeration Date
2019-03-05
Last Update Date
2019-03-05
Business Address
TISHONA WATSON
36 CRANBERRY ST
CENTRAL ISLIP, NY 11722-4922
Phone number: 910-284-1144
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Mailing Address
TISHONA WATSON
36 CRANBERRY ST
CENTRAL ISLIP, NY 11722-4922
Phone number:
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