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1174998223
EDWARD BROWNWORTH
MEDFORD, NY
NPI
1174998223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 265200-1)
Enumeration Date
2015-12-01
Last Update Date
2015-12-01
Business Address
-- EDWARD BROWNWORTH
31 INDUSTRIAL BLVD
MEDFORD, NY 11763-2220
Phone number: 631-924-4411
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Mailing Address
-- EDWARD BROWNWORTH
31 INDUSTRIAL BLVD
MEDFORD, NY 11763-2220
Phone number: 631-924-4411
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