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1437477437
KHALILAH CREASE FARMER
BRENTWOOD, NY
NPI
1437477437
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 271562-1)
Enumeration Date
2010-05-14
Last Update Date
2010-05-14
Business Address
KHALILAH CREASE FARMER LPN
191 LOEFFLER ST
BRENTWOOD, NY 11717-5806
Phone number: 631-435-0125
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Mailing Address
KHALILAH CREASE FARMER LPN
191 LOEFFLER ST
BRENTWOOD, NY 11717-5806
Phone number: 631-435-0125
Copy
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