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1265874994
KRYSTAL LEE ALEXIS
SPRING VALLEY, NY
NPI
1265874994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 311131-1)
Enumeration Date
2013-07-23
Last Update Date
2013-07-23
Business Address
KRYSTAL LEE ALEXIS
2 JORDAN PL
SPRING VALLEY, NY 10977-3111
Phone number: 845-558-2638
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Mailing Address
KRYSTAL LEE ALEXIS
2 JORDAN PL
SPRING VALLEY, NY 10977-3111
Phone number: 845-558-2638
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