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1194504217
ANN ROSE MARIE DERBY
ROSEDALE, NY
NPI
1194504217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 289128)
Enumeration Date
2023-09-27
Last Update Date
2023-09-27
Business Address
ANN ROSE MARIE DERBY
25532 147TH RD
ROSEDALE, NY 11422-2828
Phone number: 347-500-9171
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Mailing Address
ANN ROSE MARIE DERBY
25532 147TH RD
ROSEDALE, NY 11422-2828
Phone number: 347-500-9171
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