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1215405014
TIRZAH JEAN
BAYSIDE, NY
NPI
1215405014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 330948-1)
Enumeration Date
2018-11-09
Last Update Date
2023-04-27
Business Address
TIRZAH JEAN
21111 NORTHERN BLVD
BAYSIDE, NY 11361-3241
Phone number: 212-273-6272
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Mailing Address
TIRZAH JEAN
211-11 NORTHERN BVLD
BAYSIDE, NY 11361
Phone number:
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