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1255778148
ELAINE J SUCKRAM
JAMAICA, NY
NPI
1255778148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 313300-1)
Enumeration Date
2013-05-31
Last Update Date
2013-05-31
Business Address
ELAINE J SUCKRAM
15013 118TH AVE
JAMAICA, NY 11434-2030
Phone number: 718-459-5592
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Mailing Address
ELAINE J SUCKRAM
15013 118TH AVE
JAMAICA, NY 11434-2030
Phone number: 718-459-5592
Copy
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