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1386990281
ANTEJA ACEVEDO
MEDFORD, NY
NPI
1386990281
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 307259-1)
Enumeration Date
2012-07-28
Last Update Date
2012-07-28
Business Address
Miss ANTEJA ACEVEDO LPN
4 RICHARD DR
MEDFORD, NY 11763-1696
Phone number: 631-559-0445
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Mailing Address
Miss ANTEJA ACEVEDO LPN
4 RICHARD DR
MEDFORD, NY 11763-1696
Phone number: 631-559-0445
Copy
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