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1376823609
KETLY M JEAN-LOUIS
STATEN ISLAND, NY
NPI
1376823609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 300754-1)
Enumeration Date
2011-08-17
Last Update Date
2011-08-17
Business Address
Ms. KETLY M JEAN-LOUIS lpn
182 CASTLETON AVE #1-4
STATEN ISLAND, NY 10301-3038
Phone number: 718-273-1914
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Mailing Address
Ms. KETLY M JEAN-LOUIS lpn
182 CASTLETON AVE #1-4
STATEN ISLAND, NY 10301-3038
Phone number: 718-273-1914
Copy
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