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1336445733
IVETTE M RIVERA
SHIRLEY, NY
NPI
1336445733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 238104)
Enumeration Date
2011-02-02
Last Update Date
2011-02-02
Business Address
-- IVETTE M RIVERA lpn
26 VICTORY AVE
SHIRLEY, NY 11967-1728
Phone number: 631-729-6619
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Mailing Address
-- IVETTE M RIVERA lpn
26 VICTORY AVE
SHIRLEY, NY 11967-1728
Phone number: 631-729-6619
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