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1376075911
TANISHA PENGEL
JAMAICA, NY
NPI
1376075911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
(Licence: NY 311323)
Enumeration Date
2017-04-02
Last Update Date
2017-04-02
Business Address
-- TANISHA PENGEL LPN
10910 210TH ST
JAMAICA, NY 11429-1422
Phone number: 610-905-3352
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Mailing Address
-- TANISHA PENGEL LPN
10910 210TH ST
JAMAICA, NY 11429-1422
Phone number:
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