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1316502206
CARLOS THOMPSON
ROSEDALE, NY
NPI
1316502206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 568106-1)
Enumeration Date
2019-05-06
Last Update Date
2019-05-06
Business Address
CARLOS THOMPSON
25319 148TH AVE
ROSEDALE, NY 11422-2829
Phone number: 518-260-8128
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Mailing Address
CARLOS THOMPSON
25319 148TH AVE
ROSEDALE, NY 11422-2829
Phone number:
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