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1477825222
GRACE MARCIA THOMPSON
AMITYVILLE, NY
NPI
1477825222
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Former Name
GRACE MARCIA DOUGLAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 239053)
Enumeration Date
2012-02-08
Last Update Date
2012-02-08
Business Address
-- GRACE MARCIA THOMPSON LPN
373 BROADWAY 2ND FLOOR
AMITYVILLE, NY 11701-2707
Phone number: 631-608-8523
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Mailing Address
-- GRACE MARCIA THOMPSON LPN
373 BROADWAY 2ND FLOOR
AMITYVILLE, NY 11701-2707
Phone number:
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