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1194149666
MICHAEL JOHN DORN
NORTHPORT, NY
NPI
1194149666
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 358795)
Enumeration Date
2014-02-04
Last Update Date
2014-02-04
Business Address
Mr. MICHAEL JOHN DORN RN
13 GREEN KNOLL CT
NORTHPORT, NY 11768-1357
Phone number: 631-278-5864
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Mailing Address
Mr. MICHAEL JOHN DORN RN
13 GREEN KNOLL CT
NORTHPORT, NY 11768-1357
Phone number: 631-278-5864
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