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1194090159
CHARLOTTE LONG
JAMAICA, NY
NPI
1194090159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WS0200X Registered Nurse School
(Licence: NY 22 493249)
Enumeration Date
2012-03-09
Last Update Date
2012-03-09
Business Address
CHARLOTTE LONG RN
8815 182ND ST
JAMAICA, NY 11423-1733
Phone number: 718-297-9821
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Mailing Address
CHARLOTTE LONG RN
8815 182ND ST
JAMAICA, NY 11423-1733
Phone number: 718-297-9821
Copy
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