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1447526553
EVON SMITH
LAURELTON, NY
NPI
1447526553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 308659-1)
Enumeration Date
2012-03-23
Last Update Date
2012-03-23
Business Address
-- EVON SMITH
23218 MERRICK BLVD
LAURELTON, NY 11413-2115
Phone number: 718-276-0404
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Mailing Address
-- EVON SMITH
23218 MERRICK BLVD
LAURELTON, NY 11413-2115
Phone number: 718-276-0404
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