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1174854897
JENNAFER M. LACY
BAYPORT, NY
NPI
1174854897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 624151-1)
Enumeration Date
2010-01-20
Last Update Date
2010-01-20
Business Address
-- JENNAFER M. LACY R.N.
61 BAYPORT AVE
BAYPORT, NY 11705-1851
Phone number: 631-868-0519
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Mailing Address
-- JENNAFER M. LACY R.N.
61 BAYPORT AVE
BAYPORT, NY 11705-1851
Phone number: 631-868-0519
Copy
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