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1235384983
BEVERLY WAKEFIELD MACAULEY
PORT JEFFERSON, NY
NPI
1235384983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 171425-1)
Enumeration Date
2008-11-21
Last Update Date
2008-11-21
Business Address
-- BEVERLY WAKEFIELD MACAULEY R.N.
110 E BROADWAY
PORT JEFFERSON, NY 11777-1245
Phone number: 631-928-4153
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Mailing Address
-- BEVERLY WAKEFIELD MACAULEY R.N.
110 E BROADWAY
PORT JEFFERSON, NY 11777-1245
Phone number: 631-928-4153
Copy
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