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1457627093
SANDRA CLARK
QUEENS VILLAGE, NY
NPI
1457627093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 217318)
Enumeration Date
2012-03-28
Last Update Date
2012-03-28
Business Address
-- SANDRA CLARK
22121 JAMAICA AVE
QUEENS VILLAGE, NY 11428-2015
Phone number: 718-468-6923
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Mailing Address
-- SANDRA CLARK
22121 JAMAICA AVE
QUEENS VILLAGE, NY 11428-2015
Phone number: 718-468-6923
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