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1396517629
DIANA REYES
CENTRAL ISLIP, NY
NPI
1396517629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 277613)
Enumeration Date
2023-10-30
Last Update Date
2023-10-30
Business Address
DIANA REYES LPN
455 PROSPECT AVE
CENTRAL ISLIP, NY 11722-1829
Phone number: 631-579-8357
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Mailing Address
DIANA REYES LPN
455 PROSPECT AVE
CENTRAL ISLIP, NY 11722-1829
Phone number: 631-579-8357
Copy
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