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1275167025
TANYA PRUDEN
ELMONT, NY
NPI
1275167025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 331792)
Enumeration Date
2020-03-02
Last Update Date
2020-03-02
Business Address
TANYA PRUDEN
155 BELMONT BLVD
ELMONT, NY 11003-2202
Phone number: 516-424-1457
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Mailing Address
TANYA PRUDEN
155 BELMONT BLVD
ELMONT, NY 11003-2202
Phone number: 516-424-1457
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