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1316178205
SHERVONNE STACEY MARS
BROOKLYN, NY
NPI
1316178205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 290015-1)
Enumeration Date
2009-07-27
Last Update Date
2009-07-27
Business Address
Ms. SHERVONNE STACEY MARS L.P.N
75 MARTENSE ST APT. 2A
BROOKLYN, NY 11226-3260
Phone number: 347-787-5040
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Mailing Address
Ms. SHERVONNE STACEY MARS L.P.N
75 MARTENSE ST APT. 2A
BROOKLYN, NY 11226-3260
Phone number: 347-787-5040
Copy
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