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1366878704
DIOGET ALEXIS
VALLEY STREAM, NY
NPI
1366878704
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 313646)
Enumeration Date
2013-09-17
Last Update Date
2013-09-17
Business Address
-- DIOGET ALEXIS LPN
13 CLEVELAND ST
VALLEY STREAM, NY 11580-6003
Phone number: 516-823-0739
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Mailing Address
-- DIOGET ALEXIS LPN
865 BROADWAY AVE APT 22 4B
HOLBROOK, NY 11741-4953
Phone number: 631-683-1004
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