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1194113522
ATHALEE WATSON
BRENTWOOD, NY
NPI
1194113522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 268391)
Enumeration Date
2015-01-07
Last Update Date
2015-04-01
Business Address
-- ATHALEE WATSON LPN
72 4TH ST
BRENTWOOD, NY 11717-5532
Phone number: 631-415-3839
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Mailing Address
-- ATHALEE WATSON LPN
72 4TH ST
BRENTWOOD, NY 11717-5532
Phone number: 631-415-3839
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