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1508013442
TABETHA TANAE TYNDALE
STATEN ISLAND, NY
NPI
1508013442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 287510-1)
Enumeration Date
2008-08-21
Last Update Date
2008-08-21
Business Address
-- TABETHA TANAE TYNDALE LPN
1477 HYLAN BLVD
STATEN ISLAND, NY 10305-1906
Phone number: 718-979-6900
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Mailing Address
-- TABETHA TANAE TYNDALE LPN
189 W BUCHANAN ST
STATEN ISLAND, NY 10301-1224
Phone number: 347-466-2608
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