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1346553138
MARIE FABIENNE ETIENNE
BRENTWOOD, NY
NPI
1346553138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 298162)
Enumeration Date
2010-07-21
Last Update Date
2010-07-21
Business Address
-- MARIE FABIENNE ETIENNE
11 FERRIS AVE
BRENTWOOD, NY 11717-7701
Phone number: 631-390-8646
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Mailing Address
-- MARIE FABIENNE ETIENNE
11 FERRIS AVE
BRENTWOOD, NY 11717-7701
Phone number: 631-390-8646
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