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1245540343
TAVIA SHALESE BROOKS-VINES
BUFFALO, NY
NPI
1245540343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 246696-1)
Enumeration Date
2010-10-07
Last Update Date
2010-10-07
Business Address
-- TAVIA SHALESE BROOKS-VINES LPN
220 HUTCHINSON AVE
BUFFALO, NY 14215-2241
Phone number: 716-480-2751
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Mailing Address
-- TAVIA SHALESE BROOKS-VINES LPN
220 HUTCHINSON AVE
BUFFALO, NY 14215-2241
Phone number: 716-480-2751
Copy
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