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1336423961
WANDA RIDDLES
BRONX, NY
NPI
1336423961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 289594-1)
Enumeration Date
2011-09-30
Last Update Date
2011-09-30
Business Address
-- WANDA RIDDLES
3672 WILLETT AVE
BRONX, NY 10467-5518
Phone number: 914-227-6293
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Mailing Address
-- WANDA RIDDLES
3672 WILLETT AVE
BRONX, NY 10467-5518
Phone number: 914-227-6293
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