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1316581069
LAKEISHA BRISTOW
MIDDLETOWN, NY
NPI
1316581069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY F309168)
Enumeration Date
2019-11-05
Last Update Date
2019-11-20
Business Address
LAKEISHA BRISTOW NP
95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941-7001
Phone number: 845-703-6999
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Mailing Address
LAKEISHA BRISTOW NP
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941-4028
Phone number: 845-703-6999
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