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1366769416
PEARL JUDITH VIDALE
JAMAICA, NY
NPI
1366769416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 249723)
Enumeration Date
2010-04-29
Last Update Date
2010-04-29
Business Address
-- PEARL JUDITH VIDALE
8825 163RD ST
JAMAICA, NY 11432-4046
Phone number: 718-739-0045
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Mailing Address
-- PEARL JUDITH VIDALE
8825 163RD ST
JAMAICA, NY 11432-4046
Phone number: 718-739-0045
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