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1407177546
PRUNELLA CYNTHIA DICKERSON
BROOKLYN, NY
NPI
1407177546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 184863)
Enumeration Date
2010-06-11
Last Update Date
2012-09-17
Business Address
-- PRUNELLA CYNTHIA DICKERSON
2505 TILDEN AVE STE 101
BROOKLYN, NY 11226-5015
Phone number: 718-941-4490
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Mailing Address
-- PRUNELLA CYNTHIA DICKERSON
12725 102ND AVE
SOUTH RICHMOND HILL, NY 11419-2205
Phone number: 718-847-5120
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