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1306213202
KATHLEEN WALSH
MEDFORD, NY
NPI
1306213202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 143047-1)
Enumeration Date
2015-08-26
Last Update Date
2015-08-26
Business Address
-- KATHLEEN WALSH LPN
52 ELMHURST AVE
MEDFORD, NY 11763-3600
Phone number: 631-680-0336
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Mailing Address
-- KATHLEEN WALSH LPN
52 ELMHURST AVE
MEDFORD, NY 11763-3600
Phone number: 631-680-0336
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