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1326226762
TIESHA MARIE NELSON
AMITYVILLE, NY
NPI
1326226762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 283333-1)
Enumeration Date
2008-02-07
Last Update Date
2008-02-07
Business Address
-- TIESHA MARIE NELSON lpn
202 BOOT HILL CT
AMITYVILLE, NY 11701-2202
Phone number: 404-641-8422
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Mailing Address
-- TIESHA MARIE NELSON lpn
202 BOOTHILL COURT
AMITYVILLE, NY 11701
Phone number: 404-641-8422
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