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1184974511
KELLY JEAN GORMLEY
SHIRLEY, NY
NPI
1184974511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 276117)
Enumeration Date
2012-09-13
Last Update Date
2012-09-13
Business Address
-- KELLY JEAN GORMLEY lpn
6 ROCKLEDGE DRIVE
SHIRLEY, NY 11967
Phone number: 631-399-1013
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Mailing Address
-- KELLY JEAN GORMLEY lpn
6 ROCKLEDGE DRIVE
SHIRLEY, NY 11967
Phone number:
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