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1174912471
ALYSSA GRUDZINSKI
MEDFORD, NY
NPI
1174912471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 310389)
Enumeration Date
2015-01-09
Last Update Date
2015-01-09
Business Address
-- ALYSSA GRUDZINSKI
34 BALSAM DR
MEDFORD, NY 11763-4304
Phone number: 631-626-5859
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Mailing Address
-- ALYSSA GRUDZINSKI
34 BALSAM DR
MEDFORD, NY 11763-4304
Phone number:
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