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1184883365
DWIGHT SHELDON JACK
ROSEDALE, NY
NPI
1184883365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: NY 548498)
Enumeration Date
2008-06-03
Last Update Date
2008-06-03
Business Address
-- DWIGHT SHELDON JACK RN
24123 148TH AVE
ROSEDALE, NY 11422-3265
Phone number: 718-723-1083
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Mailing Address
-- DWIGHT SHELDON JACK RN
24123 148TH AVE
ROSEDALE, NY 11422-3265
Phone number: 718-723-1083
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