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1437405800
DASSETTA GOODHALL
BRONX, NY
NPI
1437405800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 291485-1)
Enumeration Date
2012-08-03
Last Update Date
2012-08-03
Business Address
Miss DASSETTA GOODHALL LPN
4383 BYRON AVE PH
BRONX, NY 10466-1516
Phone number: 646-260-9710
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Mailing Address
Miss DASSETTA GOODHALL LPN
4383 BYRON AVE PH
BRONX, NY 10466-1516
Phone number: 646-260-9710
Copy
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