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1356196752
WOLLETA BLACKWOOD
ELMONT, NY
NPI
1356196752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 610154)
Enumeration Date
2024-04-19
Last Update Date
2024-04-21
Business Address
WOLLETA BLACKWOOD
1944 JACKSON AVE
ELMONT, NY 11003-4200
Phone number: 516-424-0169
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Mailing Address
WOLLETA BLACKWOOD
1944 JACKSON AVE
ELMONT, NY 11003-4200
Phone number:
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