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1316592983
ANN PANTRY
ROSEDALE, NY
NPI
1316592983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 264882-1)
Enumeration Date
2019-08-09
Last Update Date
2019-08-09
Business Address
ANN PANTRY
13624 241ST ST
ROSEDALE, NY 11422-1520
Phone number: 646-872-7094
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Mailing Address
ANN PANTRY
13624 241ST ST
ROSEDALE, NY 11422-1520
Phone number: 646-872-7094
Copy
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