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1275994568
SOPHIA LIVERMORE
BRENTWOOD, NY
NPI
1275994568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 321688)
Enumeration Date
2016-03-14
Last Update Date
2016-03-14
Business Address
-- SOPHIA LIVERMORE
78 PAMELA LN
BRENTWOOD, NY 11717-7311
Phone number: 631-972-3797
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Mailing Address
-- SOPHIA LIVERMORE
78 PAMELA LN
BRENTWOOD, NY 11717-7311
Phone number: 631-972-3797
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