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1386934511
MARIE MAGDALA BISSAINTHE
CORAM, NY
NPI
1386934511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 303791)
Enumeration Date
2011-04-08
Last Update Date
2011-04-24
Business Address
-- MARIE MAGDALA BISSAINTHE L.P.N
33 NORTHRIDGE DR
CORAM, NY 11727-2612
Phone number: 631-775-0245
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Mailing Address
-- MARIE MAGDALA BISSAINTHE L.P.N
33 NORTHRIDGE DR
CORAM, NY 11727-2612
Phone number: 631-775-0245
Copy
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