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1487059135
CAROLYN PORTER
MOUNT VERNON, NY
NPI
1487059135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 291551-1)
Enumeration Date
2014-10-23
Last Update Date
2014-10-23
Business Address
-- CAROLYN PORTER
159 S 11TH AVE
MOUNT VERNON, NY 10550-2928
Phone number: 917-686-6133
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Mailing Address
-- CAROLYN PORTER
159 S 11TH AVE
MOUNT VERNON, NY 10550-2928
Phone number: 917-686-6133
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