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1235589722
SHATISHA WELCH
BRENTWOOD, NY
NPI
1235589722
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 325522)
Enumeration Date
2016-06-15
Last Update Date
2016-06-15
Business Address
-- SHATISHA WELCH
386 MAYFLOWER AVE
BRENTWOOD, NY 11717-8202
Phone number: 631-387-5417
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Mailing Address
-- SHATISHA WELCH
386 MAYFLOWER AVE
BRENTWOOD, NY 11717-8202
Phone number:
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