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1215464862
TISHA GRISSOM
BROOKLYN, NY
NPI
1215464862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 262906)
Enumeration Date
2017-05-15
Last Update Date
2017-05-15
Business Address
TISHA GRISSOM
494 DUMONT AVE
BROOKLYN, NY 11207-5017
Phone number: 718-260-2920
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Mailing Address
TISHA GRISSOM
22 CHAPEL ST
BROOKLYN, NY 11201-1903
Phone number:
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