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1225615685
KETHLINE JEAN DACISSE
HEMPSTEAD, NY
NPI
1225615685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WG0600X Registered Nurse, Gerontology
(Licence: NY 481694)
Enumeration Date
2021-03-24
Last Update Date
2021-03-24
Business Address
KETHLINE JEAN DACISSE
800 FRONT ST
HEMPSTEAD, NY 11550-4600
Phone number: 516-705-9700
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Mailing Address
KETHLINE JEAN DACISSE
11 WHALEY ST
FREEPORT, NY 11520-4920
Phone number: 516-643-7752
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