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1306133723
SYISHA COOPER
AMITYVILLE, NY
NPI
1306133723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 298775-1)
Enumeration Date
2011-07-06
Last Update Date
2011-07-21
Business Address
-- SYISHA COOPER LPN
30 WALNUT RD
AMITYVILLE, NY 11701-1021
Phone number: 347-792-2410
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Mailing Address
-- SYISHA COOPER LPN
30 WALNUT RD
AMITYVILLE, NY 11701-1021
Phone number:
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