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1194349332
KANESHA ALTHEA THOM
NEW YORK, NY
NPI
1194349332
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 307446)
Enumeration Date
2020-06-03
Last Update Date
2020-06-03
Business Address
KANESHA ALTHEA THOM
645 10TH AVE
NEW YORK, NY 10036-2904
Phone number: 212-265-4500
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Mailing Address
KANESHA ALTHEA THOM
645 10TH AVE
NEW YORK, NY 10036-2904
Phone number: 212-265-4500
Copy
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