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1194419549
LATRESE AMILIA SMILEY
CORAM, NY
NPI
1194419549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 345469)
Enumeration Date
2023-06-07
Last Update Date
2023-06-07
Business Address
LATRESE AMILIA SMILEY
11 LINCOLN CT
CORAM, NY 11727-3912
Phone number: 631-219-3931
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Mailing Address
LATRESE AMILIA SMILEY
11 LINCOLN CT
CORAM, NY 11727-3912
Phone number: 631-219-3931
Copy
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