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1215239033
JERMAINE RICKETTS
SUFFERN, NY
NPI
1215239033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 290340)
Enumeration Date
2010-11-30
Last Update Date
2010-11-30
Business Address
-- JERMAINE RICKETTS lpn
99 WASHINGTON AVE
SUFFERN, NY 10901-6026
Phone number: 845-357-4500
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Mailing Address
-- JERMAINE RICKETTS lpn
141 LIVINGSTON AVE
YONKERS, NY 10705-2224
Phone number: 718-924-8290
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