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1295910446
ELICIA HENDERSON
UNIONDALE, NY
NPI
1295910446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 271896-1)
Enumeration Date
2008-01-07
Last Update Date
2008-01-07
Business Address
-- ELICIA HENDERSON lpn
343 CLARENDON RD
UNIONDALE, NY 11553-1801
Phone number: 516-242-8253
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Mailing Address
-- ELICIA HENDERSON lpn
343 CLARENDON RD
UNIONDALE, NY 11553-1801
Phone number: 516-242-8253
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