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1285082578
NEVADA STREET
STATEN ISLAND, NY
NPI
1285082578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 310739-1)
Enumeration Date
2016-05-27
Last Update Date
2016-05-27
Business Address
-- NEVADA STREET
300A LOCKMAN AVE
STATEN ISLAND, NY 10303-1882
Phone number: 718-619-2386
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Mailing Address
-- NEVADA STREET
300A LOCKMAN AVE
STATEN ISLAND, NY 10303-1882
Phone number:
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