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1255616983
EMILIA THEODATE
CENTRAL ISLIP, NY
NPI
1255616983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WS0200X Registered Nurse, School
(Licence: NY 22560607)
Enumeration Date
2011-10-13
Last Update Date
2011-10-13
Business Address
Ms. EMILIA THEODATE R.N.
5 BIRCH ST
CENTRAL ISLIP, NY 11722-3101
Phone number: 631-231-6919
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Mailing Address
Ms. EMILIA THEODATE R.N.
5 BIRCH ST
CENTRAL ISLIP, NY 11722-3101
Phone number: 631-231-6919
Copy
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