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1174200539
VENICE LANE
ROSEDALE, NY
NPI
1174200539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 240351)
Enumeration Date
2023-06-28
Last Update Date
2023-06-28
Business Address
VENICE LANE
13509 233RD ST
ROSEDALE, NY 11422-1504
Phone number: 917-750-8911
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Mailing Address
VENICE LANE
13509 233RD ST
ROSEDALE, NY 11422-1504
Phone number:
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