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1225402829
TINA JEAN
AMITYVILLE, NY
NPI
1225402829
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 312019)
Enumeration Date
2015-11-19
Last Update Date
2015-11-19
Business Address
-- TINA JEAN
365 BROADWAY SUITE 4A
AMITYVILLE, NY 11701-2716
Phone number: 646-770-3236
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Mailing Address
-- TINA JEAN
365 BROADWAY SUITE 4A
AMITYVILLE, NY 11701-2716
Phone number: 646-770-3236
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