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1184241960
PRINCESS DAVIS
DEER PARK, NY
NPI
1184241960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 337768)
Enumeration Date
2020-06-29
Last Update Date
2020-06-29
Business Address
PRINCESS DAVIS
225 TELL AVE
DEER PARK, NY 11729-7023
Phone number: 631-805-7130
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Mailing Address
PRINCESS DAVIS
225 TELL AVE
DEER PARK, NY 11729-7023
Phone number: 631-805-7130
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