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1457628802
MYA GAINES
WILLIAMSVILLE, NY
NPI
1457628802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 279059)
Enumeration Date
2011-11-29
Last Update Date
2011-11-29
Business Address
-- MYA GAINES LPN
2250 WEHRLE DR SUITE 1
WILLIAMSVILLE, NY 14221-7034
Phone number: 716-276-2123
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Mailing Address
-- MYA GAINES LPN
323 MORTIMER ST
BUFFALO, NY 14204-1358
Phone number: 716-852-0547
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