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1326232422
MARYALICE KOCH
FARMINGVILLE, NY
NPI
1326232422
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 564347-1)
Enumeration Date
2007-08-31
Last Update Date
2007-08-31
Business Address
Mrs. MARYALICE KOCH rn
15 ALLEGHENY DR E
FARMINGVILLE, NY 11738-2803
Phone number: 631-696-1128
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Mailing Address
Mrs. MARYALICE KOCH rn
15 ALLEGHENY DR E
FARMINGVILLE, NY 11738-2803
Phone number: 631-696-1128
Copy
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