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1386382851
LIAM JAMAL PHILLIP
STATEN ISLAND, NY
NPI
1386382851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 324063)
Enumeration Date
2022-05-24
Last Update Date
2022-05-24
Business Address
LIAM JAMAL PHILLIP LPN
76 LAUREL AVE
STATEN ISLAND, NY 10304-1931
Phone number: 580-919-9938
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Mailing Address
LIAM JAMAL PHILLIP LPN
76 LAUREL AVE
STATEN ISLAND, NY 10304-1931
Phone number: 580-919-9938
Copy
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