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1174221345
ALYSE CATHERINE MCCULLOUGH
DEER PARK, NY
NPI
1174221345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 336923)
Enumeration Date
2023-02-17
Last Update Date
2023-02-17
Business Address
ALYSE CATHERINE MCCULLOUGH
206 W 22ND ST
DEER PARK, NY 11729-4812
Phone number: 347-603-4099
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Mailing Address
ALYSE CATHERINE MCCULLOUGH
206 W 22ND ST
DEER PARK, NY 11729-4812
Phone number:
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