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1235649922
TANISHA SHANTE AFZAL
ROCKVILLE CENTRE, NY
NPI
1235649922
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 327679)
Enumeration Date
2017-10-07
Last Update Date
2017-10-07
Business Address
TANISHA SHANTE AFZAL LPN
52 N KENSINGTON AVE APT 1
ROCKVILLE CENTRE, NY 11570-5004
Phone number: 646-525-0348
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Mailing Address
TANISHA SHANTE AFZAL LPN
52 N KENSINGTON AVE APT 1
ROCKVILLE CENTRE, NY 11570-5004
Phone number: 646-525-0348
Copy
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