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1205304755
SHANICE POTTINGER
SUFFERN, NY
NPI
1205304755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 331446)
Enumeration Date
2018-11-02
Last Update Date
2018-11-02
Business Address
SHANICE POTTINGER LPN
15 SUFFERN PLACE
SUFFERN, NY 10901
Phone number: 845-357-4500
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Mailing Address
SHANICE POTTINGER LPN
15 SUFFERN PLACE
SUFFERN, NY 10901
Phone number: 845-357-4500
Copy
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